BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLUS MIA

    MDR report key: 1222130 · Received November 5, 2008

    Report

    Report Number
    9612771-2008-00099
    Event Type
    Injury
    Date Received
    November 5, 2008
    Date of Event
    January 3, 2008
    Report Date
    November 6, 2008
    Manufacturer
    SMITH & NEPHEW ORTHOPEDICS AG
    Product Code
    KWY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO LOOSENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUS MIA HIP STEM KWY SMITH & NEPHEW ORTHOPEDICS AG NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R