inforMED
InjuryLWJ

PROFEMUR® MODULAR FEMORAL NECK

Received Aug 28, 2023 · Event occurred Jul 19, 2023

Report 3010536692-2023-00155 · MDR key 17630829

Device

Generic name

Hip Component

Model number

PHA01204

Catalog number

PHA01204

Lot number

0101038657

Product problems

  • Break
  • Difficult to Remove
  • Break
  • Difficult to Remove

Patient

57 YR · Male

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

THIS EVENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.

Description of Event or Problem

ALLEGEDLY, THE PATIENT WAS PREVIOUSLY SYMPTOM-FREE FROM THE SIDE OF THE LEFT HIP, BUT AFTER A WALK SUDDENLY SLUMPED AND WAS UNABLE TO PUT WEIGHT ON THE LEG. BROKEN MODULAR NECK.