BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 2832946 · Received November 15, 2012

    Report

    Report Number
    3005477969-2012-00384
    Event Type
    Injury
    Date Received
    November 15, 2012
    Date of Event
    November 14, 2012
    Report Date
    February 18, 2013
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, LTD.
    Product Code
    NXT
    PMA / PMN Number
    P040033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO PAIN. PATIENT WAS ORIGINALLY IMPLANTED IN 2006.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BHR ACETABULAR CUP NXT SMITH & NEPHEW ORTHOPAEDICS, LTD. 51128 006

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Hospitalization| R FEMORAL HEAD, #74121158, LOT# 51226 002| FEMORAL HEAD, PART AND LOT# UNKNOWN