BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE HIP RESURFACER

    MDR report key: 2672029 · Received July 19, 2012

    Report

    Report Number
    MW5026264
    Event Type
    Injury
    Date Received
    July 19, 2012
    Date of Event
    February 12, 2008
    Report Date
    July 19, 2012
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGIES INC
    Product Code
    KWA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD HIP RESURFACING IN 2008. THE PRODUCT USED WAS THE "CONSERVE" RESURFACING ACETABULAR CUP AND FEMORAL HEAD DEVICE. THIS PRODUCT IS MADE OF (B)(4) WHICH CONTAINS (B)(4). THE DEVICE IS MFG BY WRIGHT MEDICAL TECHNOLOGIES INC. IN (B)(6) 2010, I WAS DIAGNOSED WITH NON-HODGKINS LYMPHOMA AND RECEIVED CHEMOTHERAPY TREATMENT FOR IT IN 2011. I AM PRESENTLY IN REMISSION. MY INTERNET RESEARCH INDICATES THAT CHROMIUM IONS ARE IMPLICATED IN CAUSING LYMPHOMA/LEUKEMIA DISEASE. DATES OF USE: (B)(6) 2008 - (B)(6) 2012. REASON FOR USE: OSTEOARTHRITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONSERVE HIP RESURFACER HIP RESURFACER KWA WRIGHT MEDICAL TECHNOLOGIES INC UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other