FDA Adverse Event Injury Summary report: N

CONSERVE(R) PLUS SUPER FINISH FEMORAL

MDR report key: 2973102 · Received February 21, 2013

Report

Report Number
1043534-2013-00375
Event Type
Injury
Date Received
February 21, 2013
Date of Event
January 15, 2013
Report Date
January 29, 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

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 1043534-2013-00376.

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.

Description of Event or Problem · 1

ALLEGEDLY REVISED DUE TO MOM COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75505 CONSERVE(R) PLUS SUPER FINISH FEMORAL HIP COMPONENT, CODE:NXT NXT WRIGHT MEDICAL TECHNOLOGY, INC. 051A135650

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention