BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEAD

    MDR report key: 6370021 · Received March 1, 2017

    Report

    Report Number
    3010536692-2017-00306
    Event Type
    Injury
    Date Received
    March 1, 2017
    Report Date
    February 2, 2017
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    JDL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY THE PATIENT WAS EXPERIENCING UNKNOWN MOM COMPLICATIONS. ADDITIONAL INFORMATION RECEIVED 02/02/2017. ALLEGEDLY THE PATIENT HAS BEEN UPDATED TO A RIGHT HIP CONSERVE SCHEDULED REVISION CLAIM AND IS SCHEDULED TO BE REVISED (B)(6) 2017. (RIGHT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    153290 HEAD HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. NI

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention