BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNKNOWN RIGHT STRYKER TITANIUM/CERAMIC IMPLANT HIP

    MDR report key: 2844961 · Received October 24, 2012

    Report

    Report Number
    9616680-2012-00924
    Event Type
    Malfunction
    Date Received
    October 24, 2012
    Date of Event
    January 1, 2007
    Report Date
    October 4, 2012
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    LPH
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFO HAS BEEN REQUESTED AND IF RECEIVED, WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT PT IS EXPERIENCING SOME SQUEAKING IN HIS RIGHT HIP. PT IS ALSO REPORTING THAT THE SQUEAKING STARTED SIX MONTHS AFTER SURGERY. PT IS SCHEDULED FOR AN UPCOMING APPOINTMENT WITH HIS PHYSICIAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN RIGHT STRYKER TITANIUM/CERAMIC IMPLANT HIP IMPLANT LPH STRYKER ORTHOPAEDICS CORK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other