FDA Adverse Event
Injury
Summary report: N
UNKNOWN DEPUY HIP COMPONENT
MDR report key: 645100
·
Received November 8, 2005
Report
- Report Number
- 1818910-2005-02195
- Event Type
- Injury
- Date Received
- November 8, 2005
- Date of Event
- October 13, 2005
- Report Date
- October 13, 2005
- Manufacturer
- DEPUY ORTHOPAEDICS, INC.
- Product Code
- JDI
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
LEGAL PAPERS STATE THE PLAINTIFF WAS IMPLANTED ON OCT 17, 2002 AND HAS SUFFERED PAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN DEPUY HIP COMPONENT | TOTAL HIP PROSTHESIS | JDI | DEPUY ORTHOPAEDICS, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Required Intervention |