BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE(R) TOTAL A-CLASS HEAD

    MDR report key: 6043226 · Received October 20, 2016

    Report

    Report Number
    3010536692-2016-01299
    Event Type
    Injury
    Date Received
    October 20, 2016
    Report Date
    September 21, 2016
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    JDL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY, THE PATIENT WAS REVISED DUE TO THE FOLLOWING MOM COMPLICATIONS; HIP SOCKET PAIN. ADDITIONAL INFORMATION RECEIVED. ALLEGEDLY, THE PATIENT WILL BE REVISED ON (B)(6) 2016.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    695632 CONSERVE(R) TOTAL A-CLASS HEAD HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. 085246822

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention