FDA Adverse Event Injury Summary report: N

PROFEMUR RADEL TRIAL NECK

MDR report key: 2212435 · Received November 6, 2007

Report

Report Number
1043534-2007-00193
Event Type
Injury
Date Received
November 6, 2007
Date of Event
October 9, 2007
Report Date
October 30, 2007
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
LXH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IS NOT COMPLETE. TRENDS WILL BE EVALUATED. THIS REPORT WILL BE AMENDED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

ADVERSE EVENT, PRODUCT PROBLEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROFEMUR RADEL TRIAL NECK HIP INSTRUMENT LXH WRIGHT MEDICAL TECHNOLOGY, INC. NI

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R