BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SOLUTION HIP FEMORAL PROSTHESIS TOTAL HIP PROSTHESIS

    MDR report key: 58551 · Received December 20, 1996

    Report

    Report Number
    1818910-1996-00094
    Event Type
    Malfunction
    Date Received
    December 20, 1996
    Report Date
    November 22, 1996
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWY
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE POROUS COATED FINISH IS COMING OFF THE TOTAL HIP FEMORAL PROSTHESIS THAT WAS IMPLANTED IN A PT. NO OTHER INFO WAS PROVIDED TO CO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOLUTION HIP FEMORAL PROSTHESIS TOTAL HIP PROSTHESIS Implant TOTAL HIP PROSTHESIS KWY DEPUY ORTHOPAEDICS, INC. NA 889456

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO