FDA.reportPublic FDA data

MAUDE MDR 9870993

MDR report key
9870993
Report number
3005180920-2020-00181
Event key
0
Event type
3
Date of event
2020-02-24
Date received
2020-03-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR STEFANO BAJ
Address
STRADA REGINA CASTEL SAN PIETRO, SWITZERLAND 6874 SZ
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VERSAFITCUP DM DOUBLE MOBILITY HC LINER ? 54/28HIP SHELL LINERMEDACTA INTERNATIONAL SAMEH01.26.2854MHC01.26.2854MHC154847N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-2401. R

Event Narratives#

No narrative records found.