BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SULZER MEDICA

    MDR report key: 317452 · Received February 21, 2001

    Report

    Report Number
    MW1021158
    Event Type
    Injury
    Date Received
    February 21, 2001
    Date of Event
    February 19, 2001
    Report Date
    February 21, 2001
    Manufacturer
    SULZER MEDICA SULZER ORTHOPEDICS, INC.
    Product Code
    KWB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ACETABULAR COMPONENT REMOVED DUE TO GROIN DISCOMFORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    6706 SULZER MEDICA ACETABULAR SHELL KWB SULZER MEDICA SULZER ORTHOPEDICS, INC. ACETABULAR SHELL-4372-28-061 1431846
    6707 SULZER MEDICA ACETABULAR SHELL KWB SULZER MEDICA SULZER ORTHOPEDICS, INC 4361-00-051 1431846

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other| R