FDA Adverse Event
Injury
Summary report: N
CORMET METAL ON METAL HIP RESURFACING
MDR report key: 1589820
·
Received January 22, 2010
Report
- Report Number
- 9614209-2009-00006
- Event Type
- Injury
- Date Received
- January 22, 2010
- Date of Event
- October 29, 2009
- Report Date
- November 4, 2009
- Manufacturer
- CORIN LTD
- Product Code
- KWY
- PMA / PMN Number
- P050016
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VT, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFO HAS BEEN REQUESTED FROM THE REPORTING SITE. (B) (64).
Description of Event or Problem · 1
PT REVISED DUE TO POTENTIAL FEMORAL NECK FRACTURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CORMET METAL ON METAL HIP RESURFACING | CORMET FEMORAL HEAD COMPONENT | KWY | CORIN LTD | NOT KNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Hospitalization| R |