BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN LEFT STRYKER HIP

    MDR report key: 2926261 · Received January 16, 2013

    Report

    Report Number
    2249697-2013-90157
    Event Type
    Injury
    Date Received
    January 16, 2013
    Date of Event
    September 26, 2007
    Report Date
    December 28, 2012
    Manufacturer
    STRYKER ORTHOPAEDICS MAHWAH
    Product Code
    JDI
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, 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 PT HAS BEEN EXPERIENCING PAIN IN HIS HIP SINCE HAVING SURGERY. THE PT IS REPORTING THAT THERE IS POPPING AND GRINDING. THE PT ALSO STATES THAT HIS HIP IS SWOLLEN AND IT FEELS LIKE IT IS LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23714 UNKNOWN LEFT STRYKER HIP IMPLANT JDI STRYKER ORTHOPAEDICS MAHWAH NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Other