BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE PLUS

    MDR report key: 2012186 · Received March 8, 2011

    Report

    Report Number
    MW5019677
    Event Type
    Injury
    Date Received
    March 8, 2011
    Date of Event
    December 1, 2008
    Report Date
    March 8, 2011
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    KWA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    REPORTER STATED THAT HE HAD A HIP RESURFACING IN (B)(6) 2007. REPORTER STATED THAT HIP FAILED IN (B)(6) 2008. REPORTER STATED HE HAD PAIN AND SUFFERING BECAUSE OF THE HIP. REPORTER SAYS HE HAD TO GET A REVISION IN (B)(6) 2009.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONSERVE PLUS TOTAL HIP KWA WRIGHT MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR