BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RIM-LOCK

    MDR report key: 12204385 · Received July 21, 2021

    Report

    Report Number
    3010536692-2021-00403
    Event Type
    Injury
    Date Received
    July 21, 2021
    Date of Event
    June 29, 2021
    Report Date
    September 30, 2021
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS EVENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.

    Description of Event or Problem · 1

    ALLEGEDLY, THERE WAS ANTERIOR DISLOCATION POSTOPERATIVELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1097997 RIM-LOCK HIP COMPONENT LPH MICROPORT ORTHOPEDICS INC. PHA04660 1861506

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention