FDA Adverse Event Injury Summary report: N

BHR

MDR report key: 2240712 · Received September 9, 2011

Report

Report Number
3005477969-2011-00226
Event Type
Injury
Date Received
September 9, 2011
Date of Event
August 15, 2011
Report Date
November 2, 2011
Manufacturer
SMITH & NEPHEW ORTHOPAEDICS, LTD.
Product Code
NXT
PMA / PMN Number
P040033
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO A LEFT HIP FEMORAL NECK FRACTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BHR RESURFACING FEMORAL HEAD NXT SMITH & NEPHEW ORTHOPAEDICS, LTD. -080 005 PARTIAL & CORRECTION

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R ACETABULAR CUP, PART#120152, LOT#568| LOT# 668 (PARTIAL & CORRECTION)