BEUDAMED
    FDA Adverse Event Death Summary report: N

    OSTEONICS UNIVERSAL DISTAL HOLE PLUG

    MDR report key: 418317 · Received September 18, 2002

    Report

    Report Number
    2243265-2002-00093
    Event Type
    Death
    Date Received
    September 18, 2002
    Report Date
    September 13, 2002
    Manufacturer
    HOWMEDICA OSTEONICS
    Product Code
    JDK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE ATTORNEY THAT PATIENT UNDERWENT TOTAL HIP ARTHROPLASTY AND ALLEGEDLY DIED DUE TO AN "INFECTION".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OSTEONICS UNIVERSAL DISTAL HOLE PLUG IMPLANT JDK HOWMEDICA OSTEONICS NA 1E1011

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death