BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK HYLAMER LINER

    MDR report key: 246727 · Received October 29, 1999

    Report

    Report Number
    1818910-1999-00191
    Event Type
    Injury
    Date Received
    October 29, 1999
    Date of Event
    April 27, 1999
    Report Date
    October 29, 1999
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    JDI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THIS PT WAS REVISED DUE TO HYLAMER WEAR. PT'S HEIGHT IS 5' 0". TH SHELL WAS NOT REVISED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK HYLAMER LINER Implant TOTAL HIP PROSTHESIS JDI DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention