BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRILOGY ACETABULAR SYSTEM ECCENTRIC LINER

    MDR report key: 305355 · Received November 17, 2000

    Report

    Report Number
    1822565-2000-00104
    Event Type
    Malfunction
    Date Received
    November 17, 2000
    Date of Event
    October 12, 2000
    Report Date
    October 18, 2000
    Manufacturer
    ZIMMER, INC.
    Product Code
    LPH
    Removal / Correction Number
    182256510/26/2000-04R
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A CUSTOMER COMPLAINT WAS REC'D INDICATING A COMPONENT FROM CATALOG NUMBER 00-6151-070-32, LOT #35031200 WAS PACKAGED AS A CATALOG NUMBER 00-6151-072-32, LOT #35031300.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRILOGY ACETABULAR SYSTEM ECCENTRIC LINER HIP PROSTHESIS LPH ZIMMER, INC. NA 35031300

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN