BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WRIGHT

    MDR report key: 187705 · Received September 17, 1998

    Report

    Report Number
    187705
    Event Type
    Malfunction
    Date Received
    September 17, 1998
    Date of Event
    August 24, 1998
    Report Date
    August 31, 1998
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    LZO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    8/24/1998, LEFT TOTAL HIP REVISION - STEM. PROSTHESIS LOOSENED. FAILED IMPLANT. IMPLANT REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WRIGHT Implant FEMORAL STEM & HIP LZO WRIGHT MEDICAL "INFINITY HIP" S9807182

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other