FDA Adverse Event Injury Summary report: N

UNKNOWN LEFT ABGII NECK

MDR report key: 2910736 · Received January 8, 2013

Report

Report Number
9616680-2013-90056
Event Type
Injury
Date Received
January 8, 2013
Date of Event
July 1, 2012
Report Date
December 13, 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
KY, 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 SHARP PAIN IN HIS HIP JOINT. PATIENT IS REPORTING NO SWELLING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
9988 UNKNOWN LEFT ABGII NECK IMPLANT MEH STRYKER ORTHOPAEDICS CORK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 58 YR Other