BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LINEAGE(R) TRANSCEND(R) METAL ACETABULAR LINER

    MDR report key: 3802429 · Received May 9, 2014

    Report

    Report Number
    3010536692-2014-00772
    Event Type
    Injury
    Date Received
    May 9, 2014
    Date of Event
    January 14, 2014
    Report Date
    April 11, 2014
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    JDL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS EVENT OCCURRED IN (B)(6). THIS IS THE SAME EVENT AS 3010536692-2014-00771, 00773, 00774.

    Description of Event or Problem · 1

    ALLEGEDLY THE PATIENT WAS REVISED DUE TO PAIN (LEFT). (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    281538 LINEAGE(R) TRANSCEND(R) METAL ACETABULAR LINER HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. 085267674

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention