FDA Adverse Event Injury Summary report: N

SX28MM/57MM HOD INS INTER-OP

MDR report key: 280369 · Received June 2, 2000

Report

Report Number
2935620-2000-00014
Event Type
Injury
Date Received
June 2, 2000
Date of Event
May 4, 2000
Report Date
May 4, 2000
Manufacturer
SULZER ORTHOPEDICS, INC.
Product Code
LPH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED: A REVISION HIP SURGERY WAS PERFORMED DUE TO DISLOCATIONS BOTH ANTERIORLY AND POSTERIORLY. DISLOCATION MAY BE DUE TO THE POSITION OF THE CUP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SX28MM/57MM HOD INS INTER-OP HIP PROSTHESIS LPH SULZER ORTHOPEDICS, INC. NI 1346375

Patients

Seq Age Sex Outcome Treatment
1 * Hospitalization| R SZ 28X57MM (LOT#1330312)(2000).| 4360-00-57 INTER-OP HEMISPHERICAL SHELL,