BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ASR UNI FEMORAL IMPLANT SZ 45

    MDR report key: 1960916 · Received January 11, 2011

    Report

    Report Number
    1818910-2010-10718
    Event Type
    Injury
    Date Received
    January 11, 2011
    Date of Event
    December 3, 2010
    Report Date
    February 6, 2026
    Manufacturer
    DEPUY INTERNATIONAL, LTD.
    Product Code
    KWA
    PMA / PMN Number
    NA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 1

    THE PATIENT WAS REVISED TO ADDRESS PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASR UNI FEMORAL IMPLANT SZ 45 87KWA KWA DEPUY INTERNATIONAL, LTD. NA 2361457

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention