Brand Name | PINN MAR NEUT 28IDX54OD |
Type of Device | PINNACLE HIP SYSTEM : HIP POLY ACETABULAR LINERS |
Manufacturer (Section D) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic drive |
warsaw IN 46581 0988 |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic drive |
|
warsaw IN 46581 0988 |
|
Manufacturer Contact |
chad
gibson
|
700 orthopaedic drive |
warsaw, IN 46581-0988
|
5743725905
|
|
MDR Report Key | 7458940 |
MDR Text Key | 106449136 |
Report Number | 1818910-2018-58253 |
Device Sequence Number | 1 |
Product Code |
LPH
|
UDI-Device Identifier | 10603295013310 |
UDI-Public | 10603295013310 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K001534 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial |
Report Date |
03/28/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Catalogue Number | 121928054 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
03/28/2018 |
Initial Date FDA Received | 04/25/2018 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 60 YR |
|
|