FDA Adverse Event Injury Summary report: N

CONSERVE(R) PLUS SUPER FINISH FEMORAL

MDR report key: 2963330 · Received February 15, 2013

Report

Report Number
1043534-2013-00280
Event Type
Injury
Date Received
February 15, 2013
Date of Event
January 16, 2008
Report Date
January 16, 2013
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
NXT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION: NO CONCLUSION CAN BE DRAWN. THE COMPLAINT AND PACKAGE INSERT WERE REVIEWED. THE PRODUCT WAS NOT RETURNED. (B)(4): EVIDENCE THAT PRODUCT IN SPECIFICATION WHEN USED.

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS NOT COMPLETE. TRENDS WILL BE EVALUATED. THE EVENT CODE IS ADDRESSED IN THE PACKAGE INSERT. THIS REPORT WILL BE UPDATED WHEN THE INVESTIGATION IS COMPLETE. THIS IS THE SAME EVENT AS 1043534-2013-00281.

Description of Event or Problem · 1

ALLEGEDLY REVISED DUE TO MOM COMPLICATIONS. LEFT HIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69288 CONSERVE(R) PLUS SUPER FINISH FEMORAL HIP COMPONENT, CODE:NXT NXT WRIGHT MEDICAL TECHNOLOGY, INC. 03475580

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention