BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE(R) FEMORAL RESURFACING HEAD

    MDR report key: 3800606 · Received May 8, 2014

    Report

    Report Number
    3010536692-2014-00745
    Event Type
    Injury
    Date Received
    May 8, 2014
    Date of Event
    April 5, 2012
    Report Date
    April 11, 2014
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    KXA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY THE PATIENT WAS REVISED DUE TO MOM COMPLICATIONS (LEFT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    279000 CONSERVE(R) FEMORAL RESURFACING HEAD HIP COMPONENT KXA MICROPORT ORTHOPEDICS INC. 10231644

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention