BEUDAMED
    FDA Adverse Event Death Summary report: N

    PROFEMUR® LONG MODULAR NECK

    MDR report key: 19034523 · Received April 3, 2024

    Report

    Report Number
    3010536692-2024-00158
    Event Type
    Death
    Date Received
    April 3, 2024
    Report Date
    November 18, 2025
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    LZO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THIS EVENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.

    Description of Event or Problem · 0

    ALLEGEDLY, MODULAR NECK BROKE, REASON UNKNOWN.

    Description of Event or Problem · 0

    ALLEGEDLY, MODULAR NECK BROKE, REASON UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1447267 PROFEMUR® LONG MODULAR NECK HIP COMPONENT LZO MICROPORT ORTHOPEDICS INC. PHAX12X4 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Female Required Intervention