BEUDAMED
    FDA Adverse Event Other Summary report: N

    LINEAGE TRANSCEND CERAMIC ACETABULAR LINER

    MDR report key: 569910 · Received January 31, 2005

    Report

    Report Number
    1043534-2005-00007
    Event Type
    Other
    Date Received
    January 31, 2005
    Date of Event
    October 27, 2004
    Report Date
    January 26, 2005
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC.
    Product Code
    MRA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN HAMMERED CERAMIC ACETABULAR LINER INTO POSITION. LINER CRACKED AND HAD TO BE REMOVED. UPON REMOVAL IT SHATTERED INTO PIECES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINEAGE TRANSCEND CERAMIC ACETABULAR LINER HIP COMPONENT MRA WRIGHT MEDICAL TECHNOLOGY, INC. NA 03477947

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other