BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 1153074 · Received September 8, 2008

    Report

    Report Number
    3005477969-2008-00067
    Event Type
    Injury
    Date Received
    September 8, 2008
    Date of Event
    August 27, 2008
    Report Date
    September 8, 2008
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS LTD., UK
    Product Code
    KWY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO FEMORAL NECK FRACTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BHR RESURFACING FEMORAL HEAD KWY SMITH & NEPHEW ORTHOPAEDICS LTD., UK NA 076303

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R ACETABULAR CUP ITEM # 74120154