BEUDAMED
    FDA Adverse Event Other Summary report: N

    LINEAR HIP

    MDR report key: 1880571 · Received October 20, 2010

    Report

    Report Number
    1644408-2010-00560
    Event Type
    Other
    Date Received
    October 20, 2010
    Date of Event
    October 13, 2010
    Report Date
    October 13, 2010
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    LPH
    PMA / PMN Number
    K974294
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - POST OPERATIVELY, THE PATIENT'S HIP DISLOCATED. THERE WAS TOO MUCH ANTIVERSION AND NOT ENOUGH OFFSET. THE DOCTOR FIXED AND REPLACED THE STEM ONLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINEAR HIP STANDARD OFFSET STEM LPH ENCORE MEDICAL, L.P. 069C1004

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Required Intervention