InjuryLWJ
PROFEMUR® MODULAR FEMORAL NECK
Received Jun 21, 2024 · Event occurred May 22, 2024
Report 3010536692-2024-00368 · MDR key 19587749
Device
Generic name
Hip Component
Manufacturer
Microport Orthopedics Inc.Model number
PHA01254Catalog number
PHA01254
Lot number
038R0493882A01
Product problems
- Break
- Break
Patient
NA · Male
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
ALLEGEDLY, BROKEN MODULAR NECK. NON REVISED PRODUCTS: PRODUCT ID: DSPCGG58 DYNASTY® PC SHELL 58MM GROUP G/ LOT NO.: 038567109/ QTY: 1.
Additional Manufacturer Narrative
THIS INCIDENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.