BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CERAMIC

    MDR report key: 1832780 · Received September 13, 2010

    Report

    Report Number
    1020279-2010-00261
    Event Type
    Injury
    Date Received
    September 13, 2010
    Report Date
    August 13, 2010
    Manufacturer
    SMITH & NEPHEW, INC. BROOKS ROAD
    Product Code
    LPF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO A FRACTURE OF THE DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CERAMIC LINER LPF SMITH & NEPHEW, INC. BROOKS ROAD 04MM07850

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization