BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 4192497 · Received October 22, 2014

    Report

    Report Number
    3005477969-2014-00541
    Event Type
    Injury
    Date Received
    October 22, 2014
    Date of Event
    September 24, 2014
    Report Date
    October 22, 2014
    Manufacturer
    SMITH & NEPHEW
    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
    672223 BHR ACETABULAR CUP NXT SMITH & NEPHEW

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R FEMORAL HEAD, PART AND LOT # UNKNOWN