BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANTHOLOGY

    MDR report key: 2212228 · Received August 15, 2011

    Report

    Report Number
    1020279-2011-00330
    Event Type
    Injury
    Date Received
    August 15, 2011
    Date of Event
    March 16, 2011
    Report Date
    August 15, 2011
    Manufacturer
    SMITH & NEPHEW, ORTHOPEDICS
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO FEMORAL FRACTURE DUE TO THE PATIENT FALLING AT HOME UPON DISCHARGE FROM THE HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANTHOLOGY FEMORAL COMPONENT JDH SMITH & NEPHEW, ORTHOPEDICS

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R