BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKER

    MDR report key: 3140853 · Received May 24, 2013

    Report

    Report Number
    MW5030350
    Event Type
    Injury
    Date Received
    May 24, 2013
    Date of Event
    March 26, 2013
    Report Date
    May 24, 2013
    Manufacturer
    STRYKER
    Product Code
    MEH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    MY STRYKER ACCOLADE TMZF PLUS HIP STEM #3 AND STRYKER V40 ALUMINA V40 28MM FEMORAL HEAD DISLOCATED FOR THE FOURTH TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    231987 STRYKER ACCOLADE TMZF PLUS HIP STEM #3 MEH STRYKER 9181004R
    231988 STRYKER STRYKER V40 ALUMINA HEAD 28MM KXA STRYKER 6397601

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Hospitalization| R