BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ASR HIP SYSTEM : HIP METAL FEMORAL HEADS

    MDR report key: 2833759 · Received November 15, 2012

    Report

    Report Number
    1818910-2011-01347
    Event Type
    Injury
    Date Received
    November 15, 2012
    Date of Event
    January 4, 2011
    Manufacturer
    DEPUY ORTHOPAEDICS INC US
    Product Code
    KWA
    PMA / PMN Number
    K040627
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    540581 ASR HIP SYSTEM : HIP METAL FEMORAL HEADS KWA DEPUY ORTHOPAEDICS INC US 2109244

    Patients

    Seq Age Sex Outcome Treatment
    1