BEUDAMED
    FDA Adverse Event Other Summary report: N

    HIP

    MDR report key: 540743 · Received March 25, 2004

    Report

    Report Number
    1043534-2004-00018
    Event Type
    Other
    Date Received
    March 25, 2004
    Report Date
    February 24, 2004
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC.
    Product Code
    JDI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    ORIG. SURG. 1999. ALLEGEDLY HIP IMPLANT FAILED PER CONTACT. NO OTHER INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIP HIP COMPONENT JDI WRIGHT MEDICAL TECHNOLOGY, INC. NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other