BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FEMORAL COMPONENT

    MDR report key: 2505681 · Received March 27, 2012

    Report

    Report Number
    1020279-2012-00191
    Event Type
    Injury
    Date Received
    March 27, 2012
    Date of Event
    March 9, 2012
    Report Date
    March 9, 2012
    Manufacturer
    BROOKS MANUFACTURING SITE
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEMORAL COMPONENT JDH BROOKS MANUFACTURING SITE

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization