FDA Adverse Event Injury Summary report: N

BHR

MDR report key: 1221218 · Received November 5, 2008

Report

Report Number
3005477969-2008-00078
Event Type
Injury
Date Received
November 5, 2008
Date of Event
May 24, 2006
Report Date
November 5, 2008
Manufacturer
SMITH & NEPHEW ORTHOPAEDICS LTD., U.K.
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., U.K. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 54 YR Hospitalization| R ACETABULAR CUP