FDA Adverse Event
Injury
Summary report: N
SULZER MEDICA
MDR report key: 313058
·
Received January 17, 2001
Report
- Report Number
- MW1020855
- Event Type
- Injury
- Date Received
- January 17, 2001
- Date of Event
- January 16, 2001
- Report Date
- January 17, 2001
- Manufacturer
- SULZER MEDICA
- Product Code
- KWB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PT RECEIVED A SULZERMEDICA HIP IMPLANT THAT WAS RECALLED BY THE CO IN A NATIONWIDE RECALL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2000 | SULZER MEDICA | HIP - ACETABULAR SHELLS | KWB | SULZER MEDICA | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 37 YR | Other| R |