BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SZ22MM/49MM HOD INS INTER-OP

    MDR report key: 360080 · Received November 15, 2001

    Report

    Report Number
    2935620-2001-01719
    Event Type
    Injury
    Date Received
    November 15, 2001
    Date of Event
    June 20, 2001
    Report Date
    June 20, 2001
    Manufacturer
    SULZER ORTHOPEDICS, INC.
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED: REVISION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    51614 SZ22MM/49MM HOD INS INTER-OP HIP PROSTHESIS LPH SULZER ORTHOPEDICS, INC. NA 1296332

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization| R