BEUDAMED
    FDA Adverse Event Injury Summary report: N

    QUADRA H FEMORAL STEM SIZE 3 LATERALIZED

    MDR report key: 4143547 · Received September 5, 2014

    Report

    Report Number
    3006639916-2014-00115
    Event Type
    Injury
    Date Received
    September 5, 2014
    Date of Event
    August 6, 2014
    Report Date
    September 5, 2014
    Manufacturer
    MEDACTA INTERNATIONAL SA
    Product Code
    KWY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    SZ
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY DUE TO A PERIPROSTHETIC FEMORAL FRACTURE. MFR REF# 3005180920-2014-00115.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    544466 QUADRA H FEMORAL STEM SIZE 3 LATERALIZED FEMORAL CEMENTLESS STEM LAT KWY MEDACTA INTERNATIONAL SA 072255

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention