BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN RIGHT HIP REJUVENATE NECK

    MDR report key: 2896052 · Received December 27, 2012

    Report

    Report Number
    9616680-2012-01501
    Event Type
    Injury
    Date Received
    December 27, 2012
    Date of Event
    October 27, 2010
    Report Date
    December 7, 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 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 PAIN IN HIS HIP, BUTTOCK, AND LOWER BUTTOCK AREA. PATIENT STATES THAT A LOT OF ACTIVITY AGGRAVATES THE HIP AND CAUSES PAIN. THE PATIENT STATES THAT HE HAD BLOOD WORK BUT NOW HE NEEDS AN MRI.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other