BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRIMARY LEFT HIP

    MDR report key: 2202454 · Received August 5, 2011

    Report

    Report Number
    2249697-2011-01171
    Event Type
    Injury
    Date Received
    August 5, 2011
    Date of Event
    June 16, 1994
    Report Date
    July 15, 2011
    Manufacturer
    STRYKER ORTHOPAEDICS MAHWAH
    Product Code
    JDI
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFO HAS BEEN REQUESTED AND IF IT BECOMES AVAILABLE, THEN IT WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT, "THE PT HAD PRIMARY LEFT HIP TOTAL HIP REPLACEMENT IN 1994 AND REQUIRED A REVISION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIMARY LEFT HIP IMPLANT JDI STRYKER ORTHOPAEDICS MAHWAH NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other| R