FDA Adverse Event Injury Summary report: N

BHR ACETABULAR CUP 56MM

MDR report key: 2021286 · Received March 17, 2011

Report

Report Number
3005477969-2011-00062
Event Type
Injury
Date Received
March 17, 2011
Date of Event
January 15, 2009
Report Date
March 17, 2011
Manufacturer
SMITH & NEPHEW ORTHOPAEDICS LTD
Product Code
NXT
PMA / PMN Number
P040033
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BHR ACETABULAR CUP 56MM ACETABULAR CUP NXT SMITH & NEPHEW ORTHOPAEDICS LTD 74418

Patients

Seq Age Sex Outcome Treatment
1 51 YR