BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SZ28MM/57MM HOD INS INTER-OP

    MDR report key: 535395 · Received July 22, 2004

    Report

    Report Number
    2935620-2004-00069
    Event Type
    Injury
    Date Received
    July 22, 2004
    Date of Event
    June 10, 2000
    Report Date
    July 22, 2004
    Manufacturer
    ZIMMER AUSTIN, INC.
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED: PT WAS REVISED IN 2000.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SZ28MM/57MM HOD INS INTER-OP HIP PROSTHESIS LPH ZIMMER AUSTIN, INC. NA 1379234

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization