FDA Adverse Event Death Summary report: N

SIMPLEX P RADIOPAQUE UNIT

MDR report key: 209825 · Received February 10, 1999

Report

Report Number
9610726-1999-00008
Event Type
Death
Date Received
February 10, 1999
Date of Event
December 29, 1998
Report Date
February 9, 1999
Manufacturer
HOWMEDICA INC.
Product Code
LOD
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

RPTR STATED, "THE PT HAD AN OLD FEMORAL NECK FRACTURE AND SEVERE OSTEOPOROSIS. THE SURGEON CHOSE TO IMPLANT A HOWMEDICA EMERALD LONG STEM AND VITALOCK CUP. THE PT ALSO HAD HEART DISEASE WHICH WAS UNDER MEDICAL CONTROL. CEMENT WAS INJECTED AND APPROX TWO MINS LATER, THE BLOOD PRESSURE OF THE PT DROPPED TO ZERO. THE PT DIED IN THEATRE AFTER 1 HR."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIMPLEX P RADIOPAQUE UNIT Implant OTHER LOD HOWMEDICA INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death