BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOD ENHCD INS 32/49 APR

    MDR report key: 494645 · Received November 10, 2003

    Report

    Report Number
    2935620-2003-00262
    Event Type
    Injury
    Date Received
    November 10, 2003
    Date of Event
    March 1, 2002
    Report Date
    November 10, 2003
    Manufacturer
    CENTERPULSE ORTHOPEDICS, INC.
    Product Code
    KWB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DESCRIBE EVENT OR PROBLEM: PT WAS REVISED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOD ENHCD INS 32/49 APR HIP PROSTHESIS KWB CENTERPULSE ORTHOPEDICS, INC. NA 31448

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization