BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPECIAL NKI POROUS TI FEMUR SIZE 2, LEFT

    MDR report key: 385290 · Received March 29, 2002

    Report

    Report Number
    2935620-2002-00077
    Event Type
    Injury
    Date Received
    March 29, 2002
    Date of Event
    February 28, 2002
    Report Date
    February 28, 2002
    Manufacturer
    SULZER ORTHOPEDICS, INC.
    Product Code
    HSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED: PATIENT WAS REVISED IN 2002 FOR PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SPECIAL NKI POROUS TI FEMUR SIZE 2, LEFT CUSTOM PROSTHESIS HSA SULZER ORTHOPEDICS, INC. NA 1225-1

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Hospitalization| R SZ 1/2 LT (LOT#1210-01) (2002).| 6307-00-220, NK II NP STM TIB B/P LT SZ 2| (LOT#1345653) (2002) 03-50180-11, CUSTOM TIB INS