BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR ACETABULAR CUP 56MM

    MDR report key: 2021910 · Received March 17, 2011

    Report

    Report Number
    3005477969-2011-00066
    Event Type
    Injury
    Date Received
    March 17, 2011
    Date of Event
    September 1, 2010
    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

    Additional Manufacturer Narrative · 1

    FIRST REVISION FOR THIS SAME PATIENT REPORTED IN MDR # 3005477969-2011-00062.

    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 PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING NXT SMITH & NEPHEW ORTHOPAEDICS LTD 077524

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR