BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROFEMUR Z

    MDR report key: 1881899 · Received October 20, 2010

    Report

    Report Number
    MW5017869
    Event Type
    Injury
    Date Received
    October 20, 2010
    Date of Event
    October 12, 2010
    Report Date
    October 20, 2010
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGIES
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FRACTURE OF A HIP PROSTHESIS. PROFEMUR Z, MADE BY WRIGHT MEDICAL. IMPLANTED 4 YRS PRIOR. DATES OF USE: 4 YEARS. DIAGNOSIS OR REASON FOR USE: HIP REPLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROFEMUR Z PROFEMUR Z LPH WRIGHT MEDICAL TECHNOLOGIES

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Hospitalization| O| S