FDA Adverse Event
Injury
Summary report: N
CONSERVE(R) PLUS SUPER FINISH FEMORAL
MDR report key: 7527286
·
Received May 18, 2018
Report
- Report Number
- 3010536692-2018-00655
- Event Type
- Injury
- Date Received
- May 18, 2018
- Report Date
- May 18, 2018
- Manufacturer
- MICROPORT ORTHOPEDICS INC.
- Product Code
- NXT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ALLEGEDLY THE PATIENT IS EXPERIENCING THE FOLLOWING MOM COMPLICATIONS: PAIN AND DECREASED MOBILITY. ADDITIONAL INFORMATION RECEIVED FROM LITIGATION ON 05/09/2018. ALLEGEDLY THE PATIENT WAS REVISED DUE TO MOM COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 368796 | CONSERVE(R) PLUS SUPER FINISH FEMORAL | HIP COMPONENT | NXT | MICROPORT ORTHOPEDICS INC. | 3802-1042 | 081A136336 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |