BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIRCONIA

    MDR report key: 1941493 · Received December 29, 2010

    Report

    Report Number
    1020279-2010-00372
    Event Type
    Injury
    Date Received
    December 29, 2010
    Report Date
    December 29, 2010
    Manufacturer
    SMITH & NEPHEW, ORTHOPEDICS
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO INSTABILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIRCONIA FEMORAL HEAD JDH SMITH & NEPHEW, ORTHOPEDICS 71004835

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R