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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW EMPERION EMPERION MODULAR TOTAL HIP IMPLANT SIZE NUMBER 9

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SMITH & NEPHEW EMPERION EMPERION MODULAR TOTAL HIP IMPLANT SIZE NUMBER 9 Back to Search Results
Event Date 12/22/2012
Event Type  Injury  
Event Description

Extreme shooting pain in right thigh area where total hip replacement is. Right total hip replacement was done on (b)(6) 2010 at (b)(6) for joint disease by surgeon (b)(6) ((b)(4)).

 
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Brand NameEMPERION
Type of DeviceEMPERION MODULAR TOTAL HIP IMPLANT SIZE NUMBER 9
Manufacturer (Section D)
SMITH & NEPHEW
MDR Report Key3111708
Report NumberMW5030133
Device Sequence Number1
Product CodeMEH
Report Source Voluntary
Reporter Occupation PATIENT
Type of Report Initial
Report Date 05/03/1968
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received05/09/2013
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator OTHER
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? No
Is this a Reprocessed and Reused Single-Use Device? No

Patient TREATMENT DATA
Date Received: 05/09/2013 Patient Sequence Number: 1
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