BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER ORTHOPAEDICS

    MDR report key: 3029202 · Received March 27, 2013

    Report

    Report Number
    MW5029539
    Event Type
    Other
    Date Received
    March 27, 2013
    Date of Event
    March 11, 2013
    Report Date
    March 19, 2013
    Manufacturer
    STRYKER ORTHOPAEDICS
    Product Code
    LZO
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    POLYETHYLENE LINER DISENGAGED FROM HIP SHELL. PATIENT RETURNED TO SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    126156 STRYKER ORTHOPAEDICS MOBILE BEARING HIP SYSTEM LZO STRYKER ORTHOPAEDICS 36MM

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other