BEUDAMED
    FDA Adverse Event Other Summary report: N

    FMP HIP

    MDR report key: 1820010 · Received August 24, 2010

    Report

    Report Number
    1644408-2010-00459
    Event Type
    Other
    Date Received
    August 24, 2010
    Date of Event
    August 17, 2010
    Report Date
    August 17, 2010
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - PATIENT HAD DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FMP HIP LINER, ACETABULAR, HOODED LPH ENCORE MEDICAL, L.P. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Required Intervention