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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY TRI-LOCK BPS W/GRIPTION FEMORAL STEM STD OFFSET NONE

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DEPUY TRI-LOCK BPS W/GRIPTION FEMORAL STEM STD OFFSET NONE Back to Search Results
Catalog Number 1012-04-080
Event Date 02/16/2009
Event Type  Injury  
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Brand NameDEPUY TRI-LOCK BPS W/GRIPTION FEMORAL STEM STD OFFSET
Type of DeviceNONE
MDR Report Key1937943
Report NumberMW5018672
Device Sequence Number4
Product CodeKWY
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 12/20/2010
5 DeviceS WERE Involved in the Event:1 2 3 4 5 
1 Patient Was Involved in the Event
Date FDA Received12/20/2010
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number1012-04-080
Device LOT NumberCB1HJ1000
Is The Reporter A Health Professional? No

Patient TREATMENT DATA
Date Received: 12/20/2010 Patient Sequence Number: 1
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