COMPLICATIONS RESULTING FROM REVISION SURGERY Sample Clauses

COMPLICATIONS RESULTING FROM REVISION SURGERY. □ Check here if the patient underwent a revision surgery or surgeries to remove their M2a 38, M2a Magnum or ReCap Femoral Resurfacing System implants. If you checked the box above, and the patient sustained any of the following complications during or after their revision surgery, please state the date(s) on which the complication(s) occurred: Complication Date(s) Infection (any infection in the revised hip that is diagnosed within 30 days after a Revision Surgery and determined to have been caused by the Revision Surgery) Permanent Nerve Damage (nerve damage [including but not limited to meralgia paresthetica and foot drop caused by peroneal nerve damage] resulting from a Revision Surgery that is permanent as established by medical records or a Physician’s Declaration, or that has persisted for 18 months or more. Second Revision (surgery to remove a replacement hip implant that had been implanted as part of a Revision Surgery because the replacement hip device failed) Blood Clot (diagnosis made within 72 hours of a Revision Surgery of pulmonary embolism or deep vein thrombosis that resulted from a Revision Surgery) Stroke (cerebrovascular incident or insult occurring within 72 hours of a Revision Surgery and determined to have been caused by the Revision Surgery) Third Revision (surgery to remove a replacement hip implant that had been implanted as part of a Second Revision because the replacement hip device failed) Death (class member died within 72 hours after a Revision Surgery as a result of the Revision Surgery) Femoral Fracture (fracture of femur that occurs during a Revision Surgery or as a result of the Revision Surgery, and does not include fracture that results from trauma that occurs before or after the Revision Surgery)
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COMPLICATIONS RESULTING FROM REVISION SURGERY. Check here if the patient underwent a revision surgery or surgeries to remove the cup of his/her ASR™ XL Acetabular Hip System and/or ASR™ Hip Resurfacing System (referred to herein as “ASR Revision Surgery”). If you checked the box above, and the patient sustained any of the following complications during or after his/her ASR Revision Surgery due to the ASR Revision Surgery, please state the date on which the complication(s) occurred: DATE (MM/DD/YYYY)
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Related to COMPLICATIONS RESULTING FROM REVISION SURGERY

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