BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 2161137 · Received July 13, 2011

    Report

    Report Number
    3005477969-2011-00146
    Event Type
    Injury
    Date Received
    July 13, 2011
    Date of Event
    April 28, 2010
    Report Date
    September 19, 2011
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, LTD.
    Product Code
    NXT
    PMA / PMN Number
    P040033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FI
    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 NXT SMITH & NEPHEW ORTHOPAEDICS, LTD. 17690 083

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R FEMORAL HEAD: PART # 74121146, LOT # 29067 010