BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN LEFT HIP REJUVENATE NECK

    MDR report key: 2892138 · Received December 19, 2012

    Report

    Report Number
    9616680-2012-01446
    Event Type
    Injury
    Date Received
    December 19, 2012
    Date of Event
    August 3, 2011
    Report Date
    November 30, 2012
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    MEH
    PMA / PMN Number
    UNK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    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 THE PT IS HAVING PAIN IN THE HIP AREA. PT STATES THAT HE HAS EXPERIENCED THE PAIN FOR THE LAST SIX TO SEVEN MONTHS. THE PT VISITED THE SURGEON AND IS SCHEDULED FOR AN MRI.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN LEFT HIP REJUVENATE NECK IMPLANT MEH STRYKER ORTHOPAEDICS CORK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other