BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONSERVE(R) TOTAL A-CLASS HEAD

    MDR report key: 7996866 · Received October 23, 2018

    Report

    Report Number
    3010536692-2018-01359
    Event Type
    Injury
    Date Received
    October 23, 2018
    Report Date
    October 23, 2018
    Manufacturer
    MICROPORT ORTHOPEDICS INC.
    Product Code
    JDL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

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

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    838540 CONSERVE(R) TOTAL A-CLASS HEAD HIP COMPONENT JDL MICROPORT ORTHOPEDICS INC. 38AM-4204 018533958

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention