D
Patient 1
IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO FEMORAL NECK FRACTURE.
MAUDE MDR 844756
- MDR report key
- 844756
- Report number
- 1020279-2007-00094
- Event key
- 0
- Event type
- 3
- Date received
- 2007-04-30
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- MRS MELANIE TRAVIS
- Address
- 1450 BROOKS ROAD MEMPHIS TN 38116 US
- Phone
- 901-901-9013
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | BHR | CUP | SMITH & NEPHEW INC., ORTHOPAEDIC DIV. | JDD | NA | 90127629 | UNK | Y | * | N |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2007-04-30 | 0 | 1. H; 2. R |