BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN RIGHT ABG II HIP STEM

    MDR report key: 2911153 · Received January 7, 2013

    Report

    Report Number
    9616680-2013-90029
    Event Type
    Injury
    Date Received
    January 7, 2013
    Date of Event
    September 27, 2011
    Report Date
    December 12, 2012
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    KWY
    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

    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 HAD BILATERAL HIP IMPLANTS. SHE RECEIVED LETTERS ABOUT RECALLED HIPS. THE PATIENT IS REPORTING THAT SHE HAS PAIN IN HER RIGHT HIP AND SOMETIMES HER HIP DOESN'T HOLD HER WEIGHT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    6647 UNKNOWN RIGHT ABG II HIP STEM IMPLANT KWY STRYKER ORTHOPAEDICS CORK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other