FDA Adverse Event
Injury
Summary report: N
UNKNOWN RIGHT HIP ABGII MODULAR STEM
MDR report key: 2870007
·
Received December 4, 2012
Report
- Report Number
- 9616680-2012-01264
- Event Type
- Injury
- Date Received
- December 4, 2012
- Date of Event
- May 10, 2011
- Report Date
- November 9, 2012
- Manufacturer
- STRYKER ORTHOPAEDICS CORK
- Product Code
- MEH
- PMA / PMN Number
- UNK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF RECEIVED WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING STIFFNESS, PAIN AND TALKS OF THE HIP LOCKING UP. THIS STARTED A MONTH AGO IF SHE IS STANDING FOR A PERIOD OF TIME. WHEN SHE HAS TO WALK, SHE HAS TO FIGURE OUT HOW TO MOVE HER LEG WITHOUT IT HURTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN RIGHT HIP ABGII MODULAR STEM | IMPLANT | MEH | STRYKER ORTHOPAEDICS CORK | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Other |