BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 3920991 · Received July 9, 2014

    Report

    Report Number
    3005477969-2014-00383
    Event Type
    Injury
    Date Received
    July 9, 2014
    Date of Event
    January 3, 2014
    Report Date
    July 8, 2014
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS LTD
    Product Code
    NXT
    PMA / PMN Number
    P040033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    401355 BHR ACETABULAR CUP NXT SMITH & NEPHEW ORTHOPAEDICS LTD 53661

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Hospitalization| R MODULAR HEAD, PART #74121246, LOT #52031