BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RIGHT TOTAL HIP REPLACEMENT

    MDR report key: 2252818 · Received September 13, 2011

    Report

    Report Number
    2249697-2011-01328
    Event Type
    Injury
    Date Received
    September 13, 2011
    Date of Event
    August 2, 2011
    Report Date
    August 18, 2011
    Manufacturer
    STRYKER ORTHOPAEDICS MAHWAH
    Product Code
    KWY
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    IF ADDITIONAL INFO BECOMES AVAILABLE, THE EVAL SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: "DR. IMPLANTED 2 JOINTS - BOTH ALLEGEDLY STRYKER. (B)(6) 2009- RIGHT KNEE- REVISED IN (B)(6) 2010, AND A RIGHT HIP IMPLANTED IN (B)(6) 2011. IN EARLY (B)(6) 2011, PT INJURED HIS RIGHT HIP. HE FURTHER ALLEGES THAT HIS RIGHT LEG IS HOW SHORTER THAN PRIOR TO SURGERIES."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RIGHT TOTAL HIP REPLACEMENT IMPLANT KWY STRYKER ORTHOPAEDICS MAHWAH NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other| R