BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE® TOTAL A-CLASS® HEAD

    MDR report key: 7527290 · Received May 18, 2018

    Report

    Report Number
    3010536692-2018-00660
    Event Type
    Injury
    Date Received
    May 18, 2018
    Report Date
    May 18, 2018
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    JDL
    PMA / PMN Number
    K051348
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY THE PATIENT WAS EXPERIENCING UNKNOWN MOM COMPLICATIONS. ADDITIONAL INFORMATION RECEIVED FROM LITIGATIONS ON 05/09/2018. ALLEGEDLY THE PATIENT WAS REVISED DUE TO MOM COMPLICATIONS. (LEFT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    368799 CONSERVE® TOTAL A-CLASS® HEAD HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. 38AM-4804 098700926

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention