FDA Adverse Event Injury Summary report: N

LINEAGE(R) TRANSCEND(R) CERAMIC FEMORAL HEAD

MDR report key: 2040405 · Received April 5, 2011

Report

Report Number
1043534-2011-00109
Event Type
Injury
Date Received
April 5, 2011
Report Date
March 28, 2011
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
LZO
PMA / PMN Number
K893685
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IS NOT COMPLETE. TRENDS WILL BE EVALUATED. NO COMPLAINT WAS STATED AGAINST THIS DEVICE; HOWEVER, IT WAS REMOVED DURING THIS REVISION SURGERY. THIS REPORT WILL BE UPDATED WHEN THE INVESTIGATION IS COMPLETE. THIS IS THE SAME EVENT AS 1043534-2011-00107, 00108. PLEASE SEE THE ATTACHED MEDWATCH 3500A. (B)(4)

Additional Manufacturer Narrative · 1

CONCLUSION: PRODUCT DID NOT CONTRIBUTE TO EVENT. COMPLAINT REVIEWED AND ANALYSIS SHOWED NO TREND. PRODUCT NOT RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LINEAGE(R) TRANSCEND(R) CERAMIC FEMORAL HEAD HIP COMPONENT LZO WRIGHT MEDICAL TECHNOLOGY, INC.

Patients

Seq Age Sex Outcome Treatment
1