BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SULOX

    MDR report key: 2667237 · Received August 8, 2007

    Report

    Report Number
    9613350-2007-00033
    Event Type
    Injury
    Date Received
    August 8, 2007
    Date of Event
    June 20, 2007
    Report Date
    August 15, 2007
    Manufacturer
    ZIMMER GMBH
    Product Code
    KWY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BREAKAGE OF CERAMIC BALL HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SULOX SULOX CERAMIC BALL HEAD KWY ZIMMER GMBH 2242327

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Hospitalization