FDA Adverse Event
Injury
Summary report: N
UNKNOWN REJUVENATE HIP STEM
MDR report key: 2910431
·
Received January 8, 2013
Report
- Report Number
- 2249697-2013-90064
- Event Type
- Injury
- Date Received
- January 8, 2013
- Date of Event
- December 14, 2012
- Report Date
- December 14, 2012
- Manufacturer
- STRYKER ORHTOPAEDICS MAHWAH
- Product Code
- MEH
- PMA / PMN Number
- UNK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE INFORMATION IN THIS REPORT WAS PROVIDED BY STRYKER ORTHOPAEDICS LEGAL AFFAIRS. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. THEREFORE, THE EXACT CAUSE OF THE REPORTED EVENT CANNOT BE DETERMINED.
Description of Event or Problem · 1
IT WAS REPORTED THROUGH AN ATTORNEY AS A RESULT OF A LEGAL CLAIM THAT: "PATIENT HAS INJURIES SUSTAINED AS A RESULT OF THE IMPLANTATION OF A STRYKER REJUVENATE HIP REPLACEMENT".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 10239 | UNKNOWN REJUVENATE HIP STEM | IMPLANT | MEH | STRYKER ORHTOPAEDICS MAHWAH | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |