FDA Adverse Event
Injury
Summary report: N
TRIDENT CERAMIC ON CERAMIC HIP
MDR report key: 1163116
·
Received September 16, 2008
Report
- Report Number
- 9616680-2008-00287
- Event Type
- Injury
- Date Received
- September 16, 2008
- Date of Event
- September 2, 2008
- Report Date
- September 2, 2008
- Manufacturer
- STRYKER ORTHOPAEDICS CORK
- Product Code
- MRA
- PMA / PMN Number
- UNK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE WAS NOT RETURNED TO THE MFR. IF ADDITIONAL INFO BECOMES AVAILABLE, IT WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT, "THE PATIENT UNDERWENT CERAMIC ON CERAMIC HIP REPLACEMENT SURGERY IN 2005. IT WAS FURTHER REPORTED THAT, SOMETIME AFTER SURGERY THE PATIENT HEARD AN AUDIBLE SOUND EMANATING FROM HER HIP. AS A RESULT THE PATIENT HAS EXPERIENCED CONSTANT IRRITATION AND DISCOMFORT."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TRIDENT CERAMIC ON CERAMIC HIP | IMPLANT | MRA | STRYKER ORTHOPAEDICS CORK | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |