BEUDAMED
    FDA Adverse Event Other Summary report: N

    BIOLOX HIP

    MDR report key: 2214078 · Received July 19, 2011

    Report

    Report Number
    1644408-2011-00410
    Event Type
    Other
    Date Received
    July 19, 2011
    Date of Event
    July 12, 2011
    Report Date
    July 12, 2011
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    LZO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - THE PATIENT'S HIP KEPT DISLOCATING. THE SURGEON REMOVED THE LINER AND HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOLOX HIP COCR HEAD LZO ENCORE MEDICAL, L.P. 286752

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention 499-34-008, LOT 265742