FDA Adverse Event
Death
Summary report: N
UNK DEPUY HIP
MDR report key: 407946
·
Received July 30, 2002
Report
- Report Number
- 1818910-2002-00416
- Event Type
- Death
- Date Received
- July 30, 2002
- Report Date
- July 30, 2002
- Manufacturer
- DEPUY ORTHOPAEDICS, INC.
- Product Code
- JDI
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
REC'D LEGAL PAPERS STATING PT DIED DUE TO A. DEFECTIVE DESIGN OF PROSTHESIS; B. DEFECTIVE MFR OF PROSTHESIS; C. FAILURE TO WARN DECEDENT OF POTENTIAL HARM FOLLOWING INSERTION OF PROSTHESIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNK DEPUY HIP | TOTAL HIP PROSTHESIS | JDI | DEPUY ORTHOPAEDICS, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |