BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRINITY ACETABULAR SYSTEM

    MDR report key: 2452509 · Received February 10, 2012

    Report

    Report Number
    9614209-2012-00007
    Event Type
    Injury
    Date Received
    February 10, 2012
    Date of Event
    October 6, 2011
    Report Date
    January 11, 2012
    Manufacturer
    CORIN, LTD.
    Product Code
    MEH
    PMA / PMN Number
    K0093472
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    CAPA COMPLAINT (B)(4).

    Description of Event or Problem · 1

    ACETABULAR SCREW WENT THROUGH CUP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRINITY ACETABULAR SYSTEM MEH PROST HIP SEMI-CONST MEH CORIN, LTD. 196985

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Hospitalization| R