FDA Adverse Event Injury Summary report: N

COCR TRANSCEND® FEMORAL HEAD

MDR report key: 7969936 · Received October 16, 2018

Report

Report Number
3010536692-2018-01303
Event Type
Injury
Date Received
October 16, 2018
Report Date
October 16, 2018
Manufacturer
MICROPORT ORTHOPEDICS INC.
Product Code
JDL
PMA / PMN Number
K004043
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS COMPLAINT WILL BE UPDATED ONCE INVESTIGATION IS COMPLETE. TREND WILL BE EVALUATED.

Description of Event or Problem · 1

ALLEGEDLY, PATIENT HAD HIP REPLACEMENT SURGERY ON (B)(6) 2017. PATIENT HAD REVISION SURGERY ON (B)(6) 2018 DUE TO LEG LENGTH ISSUES. REVISED ACETABULAR SHELL AND LINER FROM GROUP G TO GROUP D. REVISED FEMORAL HEAD FROM NECK LENGTH 0 TO -3.5 SHORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
809563 COCR TRANSCEND® FEMORAL HEAD HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. 2600-0026 1694044

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention