BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACUMATCH L-SERIES FEMORAL STEM, CEMENTED

    MDR report key: 3802833 · Received May 5, 2014

    Report

    Report Number
    1038671-2014-00159
    Event Type
    Injury
    Date Received
    May 5, 2014
    Date of Event
    December 22, 2012
    Report Date
    May 5, 2014
    Manufacturer
    EXACTECH, INC.
    Product Code
    LWJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICES ARE PENDING EVALUATION.

    Description of Event or Problem · 1

    HIP REVISION PERFORMED DUE TO A FRACTURED FEMORAL STEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    266152 ACUMATCH L-SERIES FEMORAL STEM, CEMENTED ACUMATCH L-SERIES LWJ EXACTECH, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R