BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE(R) PLUS CUP

    MDR report key: 7996864 · Received October 23, 2018

    Report

    Report Number
    3010536692-2018-01358
    Event Type
    Injury
    Date Received
    October 23, 2018
    Report Date
    October 23, 2018
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    KWA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY, PATIENT SUFFERING FROM DEFECTIVE HIP. ADDITIONAL INFORMATION RECEIVED 09/24/2018. PATIENT HAS NOW BEEN REVISED. PATIENT REVISED FOR MOM COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    838538 CONSERVE(R) PLUS CUP HIP COMPONENT KWA MICROPORT ORTHOPEDICS INC. 3802-4248 07489604

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention