BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIOPRO PSL HIP

    MDR report key: 560243 · Received December 14, 2004

    Report

    Report Number
    1833506-2004-00002
    Event Type
    Injury
    Date Received
    December 14, 2004
    Date of Event
    November 1, 2004
    Report Date
    December 13, 2004
    Manufacturer
    BIOPRO, INC.
    Product Code
    JDI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS DOING PHYSICAL ACTIVITY AND TRUNNION FRACTURED ON HIP STEM IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOPRO PSL HIP NO.8 SHORT HIP STEM JDI BIOPRO, INC. 1179-0048 90-0594

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention