BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SULZER

    MDR report key: 321518 · Received March 15, 2001

    Report

    Report Number
    MW1021365
    Event Type
    Injury
    Date Received
    March 15, 2001
    Date of Event
    February 19, 2001
    Report Date
    March 15, 2001
    Manufacturer
    *
    Product Code
    DJI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FAILED RIGHT TOTAL HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    11651 SULZER HIP IMPLANT DJI * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Hospitalization| R