FDA Adverse Event
Injury
Summary report: N
HJD TOTAL HIP SYSTEM
MDR report key: 178952
·
Received July 24, 1998
Report
- Report Number
- 1020279-1998-00014
- Event Type
- Injury
- Date Received
- July 24, 1998
- Report Date
- May 11, 1998
- Manufacturer
- SMITH & NEPHEW, INC. ORTHOPAEDICS DIV.
- Product Code
- KWY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE DEVICE FRACTURED AND WAS REVISED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HJD TOTAL HIP SYSTEM Implant | FEMORAL STEM | KWY | SMITH & NEPHEW, INC. ORTHOPAEDICS DIV. | NA | 2C02826 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR | Hospitalization| R |