BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACETLR CUP HAP 46MM W/ IMPTR

    MDR report key: 3844482 · Received June 3, 2014

    Report

    Report Number
    3005477969-2014-00351
    Event Type
    Injury
    Date Received
    June 3, 2014
    Date of Event
    October 2, 2012
    Report Date
    July 12, 2018
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS LTD
    Product Code
    NXT
    PMA / PMN Number
    P040033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORRED THAT REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    323841 ACETLR CUP HAP 46MM W/ IMPTR ACETABULAR CUP NXT SMITH & NEPHEW ORTHOPAEDICS LTD 70245

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Hospitalization| R FEMORAL HEAD, PART #74121138 AND LOT #74219