BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HIP REPLACEMENT IMPLANT METAL ON METAL

    MDR report key: 3872170 · Received June 12, 2014

    Report

    Report Number
    MW5036553
    Event Type
    Injury
    Date Received
    June 12, 2014
    Date of Event
    February 1, 2013
    Report Date
    June 12, 2014
    Manufacturer
    STRYKER
    Product Code
    JDI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IN (B)(6) 2013, PT HAD METAL ON METAL HIP REPLACEMENT SURGERY ON HIS LEFT HIP. SINCE THEN, PT EXPERIENCES HIP PAIN WITH PROLONGED ACTIVITIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    347424 HIP REPLACEMENT IMPLANT METAL ON METAL HIP REPLACEMENT IMPLANT JDI STRYKER

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Required Intervention