FDA Adverse Event Injury Summary report: N

BIOPRO

MDR report key: 316535 · Received February 16, 2001

Report

Report Number
1833506-2001-00001
Event Type
Injury
Date Received
February 16, 2001
Date of Event
June 27, 2000
Report Date
February 14, 2001
Manufacturer
BIOPRO, INC.
Product Code
JDI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

LETTER RECEIVED IN 1-2001 STATED THAT PT WAS WALKING, TOOK A STEP AND WENT DOWN. HIP STEM FRACTURED AT THE BALLOON AND TRUNNION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
6373 BIOPRO FEMORAL HEAD, HIP STEM JDI BIOPRO, INC. * 91-0257

Patients

Seq Age Sex Outcome Treatment
1 71 YR Hospitalization| R