BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SULZER MEDICA

    MDR report key: 327924 · Received April 18, 2001

    Report

    Report Number
    MW1021661
    Event Type
    Injury
    Date Received
    April 18, 2001
    Date of Event
    March 26, 2001
    Report Date
    April 17, 2001
    Manufacturer
    SULZER MEDICA SULZER ORTHOPEDICS
    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
    17536 SULZER MEDICA ACETABULAR - HIP IMPLANT KWB SULZER MEDICA SULZER ORTHOPEDICS 4360.00.051 1437119

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention