FDA Adverse Event Other Summary report: N

FMP ACETABULAR SYSTEM

MDR report key: 355028 · Received October 8, 2001

Report

Report Number
1644408-2001-00020
Event Type
Other
Date Received
October 8, 2001
Date of Event
August 1, 2001
Report Date
September 14, 2001
Manufacturer
ENCORE ORTHOPEDICS, INC.
Product Code
LPH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ACETABULAR LINER REVISED DUE TO DISLOCATION CAUSED BY IMPLANTATION ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
45243 FMP ACETABULAR SYSTEM ACETABULAR LINER LPH ENCORE ORTHOPEDICS, INC. * 514491

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention