BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 3251505 · Received July 29, 2013

    Report

    Report Number
    3005477969-2013-00317
    Event Type
    Injury
    Date Received
    July 29, 2013
    Report Date
    March 26, 2014
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS LTD
    Product Code
    NXT
    PMA / PMN Number
    P040033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    352399 BHR ACETLR CUP HAP 50MM W/ IMPTR NXT SMITH & NEPHEW ORTHOPAEDICS LTD 1553

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Hospitalization| R 74121142 - RESUR FEM HD 42MM -5737 40| FEMORAL HEAD, PART AND LOT# UNKNOWN