BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMISTEM H FEMORAL STEM

    MDR report key: 3121763 · Received May 8, 2013

    Report

    Report Number
    3006639916-2013-00050
    Event Type
    Injury
    Date Received
    May 8, 2013
    Date of Event
    March 20, 2013
    Report Date
    May 8, 2013
    Manufacturer
    MEDACTA INTERNATIONAL SA
    Product Code
    LZO
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    UK
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    PATIENT PRESENTED WITH A FRACTURE THREE WEEKS POST OP. PATIENT WAS BROUGHT BACK INTO HOSPITAL FOR A CIRCLAGE WIRE. WE HAVE BEEN INFORMED ON (B)(4) 2013 ONLY. REF # 3005180920-2013-00050.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    202154 AMISTEM H FEMORAL STEM FEMORAL STEM SIZE 6 STD CEMENTLESS LZO MEDACTA INTERNATIONAL SA 124057

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention