BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DE PUY

    MDR report key: 48446 · Received November 8, 1996

    Report

    Report Number
    48446
    Event Type
    Injury
    Date Received
    November 8, 1996
    Date of Event
    August 28, 1996
    Report Date
    September 26, 1996
    Manufacturer
    DE PUY MFG.
    Product Code
    KWB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HIP DISLOCATES WITH EXTENSION AND EXTERNAL ROTATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DE PUY Implant DURALOC CUP AND LINER KWB DE PUY MFG. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Hospitalization| R