BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRIDENT

    MDR report key: 2071866 · Received April 21, 2011

    Report

    Report Number
    MW5020398
    Event Type
    Malfunction
    Date Received
    April 21, 2011
    Date of Event
    February 23, 2006
    Report Date
    April 21, 2011
    Product Code
    MEH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    "H", 20 MINUTES AND MAKES RIDING IN A CAR DIFFICULT. NOW I EVEN HAVE PAIN LYING DOWN AND IT IS AFFECTING MY WORK AND LIFE. I AM ON CONSTANT PAIN MEDS THAT ONLY MASK THE PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRIDENT TRIDENT HEMISPHERICAL ACETABULAR SHELL MEH 11165301

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other