BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN ENDURON LINER

    MDR report key: 624215 · Received August 4, 2005

    Report

    Report Number
    1818910-2005-01292
    Event Type
    Injury
    Date Received
    August 4, 2005
    Report Date
    July 26, 2005
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    JDI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS REVISED DUE TO DISLOCATION. PATIENT DISLOCATION IN 02/2005 AND 07/2005.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN ENDURON LINER TOTAL HIP REPLACEMENT JDI DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention