BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WRIGHT MEDICAL TECHNOLOGIES SIZE 52MM LINEAGE SOLID ACETABULAR COMPONENT

    MDR report key: 2922371 · Received January 14, 2013

    Report

    Report Number
    MW5028650
    Event Type
    Injury
    Date Received
    January 14, 2013
    Date of Event
    June 7, 2005
    Report Date
    January 10, 2013
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    KWA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MAN WITH END STAGE ARTHROSIS OF THE RIGHT HIP UNDERWENT RIGHT TOTAL HIP ARTHROPLASTY ON (B)(6) 2005. THE HIP STEM BROKE 7 YEARS LATER REQUIRING SURGICAL REVISION. WRIGHT MEDICAL TECHNOLOGIES SIZE 52MM LINEAGE SOLID ACETABULAR COMPONENT WITH A GROUP II 32MM ID ALUMINA CERAMIC ACETABULAR LINER AND A PROFEMUR S ALPHA SIZE 16 FEMORAL COMPONENT WITH A LONG VARUS NECK AND A 32X+3.5 FEMORAL HEAD COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20773 WRIGHT MEDICAL TECHNOLOGIES SIZE 52MM LINEAGE SOLID ACETABULAR COMPONENT ARTIFICIAL HIP IMPLANT- ACETABULAR COMPONENT KWA WRIGHT MEDICAL
    20774 WRIGHT MEDICAL TECHNOLOGIES GROUP II 32MM ID ALUMINA CERAMIC ACETABULAR LINER ARTIFICIAL HIP IMPLANT- ACETABULAR LINER LZO WRIGHT MEDICAL
    20893 WRIGHT MEDICAL TECHNOLOGIES PROFEMUR S ALPHA SIZE 16 FEMORAL COMPONENT W LONG VA ARTIFICIAL HIP IMPLANT - FEMORAL COMPONENT KWA WRIGHT MEDICAL
    20894 WRIGHT MEDICAL TECHNOLOGIES 32X + 3.5 FEMORAL HEAD COMPONENT ARTIFICIAL HIP IMPLANT- FEMORAL HEAD LZO WRIGHT MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention