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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW ORTHOPAEDICS LTD HEMI HEAD 54MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING

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SMITH & NEPHEW ORTHOPAEDICS LTD HEMI HEAD 54MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING Back to Search Results
Catalog Number 74122554
Device Problem Patient Device Interaction Problem (4001)
Patient Problem Injury (2348)
Event Date 04/30/2019
Event Type  Injury  
Event Description
Us legal - it was reported that a revision surgery was performed on the patient's left hip due to alval, high metal ion levels, metallosis.The patient outcome is unknown.
 
Manufacturer Narrative
It was reported that left hip revision surgery was performed.As of today, the implanted devices, all of which were used in treatment, and additional information have been requested for this complaint but have not become available.No part/lot numbers were provided; hence documentation review could not be completed.If more information is received, this investigation will be reopened.A risk management review was performed.No additional risks were identified as result of the reported event.The available medical documents were reviewed.It was reported the patient had elevated cobalt and chromium levels; however, neither the levels nor the lab reports were provided for review.Although the reported pain, elevated metal ions and intraoperative findings of fluid collection and trunnion corrosion may be consistent with findings associated with trunnionosis or metalosis; the root cause of the reported pain, elevated cobalt and chromium levels, pseudotumor and metallosis cannot be confirmed and it cannot be concluded that the reported reactions were associated with a mal-performance of the implant.The patient impact beyond the pain, revision, and expected transient post-op convalescence period cannot be determined.Without return of the actual devices or further information we cannot further investigate or confirm the details supplied in this complaint, and our investigation remains inconclusive.If the products or additional information become available in the future, this case will be reopened.No preventative or corrective action has been initiated as a result of this investigation.
 
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Brand Name
HEMI HEAD 54MM
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING
Manufacturer (Section D)
SMITH & NEPHEW ORTHOPAEDICS LTD
aurora house
spa park
leamington spa warwickshire CV31 3HL
UK  CV31 3HL
MDR Report Key10123762
MDR Text Key194153389
Report Number3005975929-2020-00180
Device Sequence Number1
Product Code NXT
Combination Product (y/n)N
PMA/PMN Number
P040033
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,other
Type of Report Initial,Followup
Report Date 07/29/2020
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? Yes
Device Operator Health Professional
Device Catalogue Number74122554
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 05/22/2020
Initial Date FDA Received06/05/2020
Supplement Dates Manufacturer Received07/24/2020
Supplement Dates FDA Received07/29/2020
Patient Sequence Number1
Treatment
71356007 - ANT POR S7 STEM; 74145460 -BHR ACE CUP 60MM; 74650002 - MOD SLEEVE 0MM; 71356007 - ANT POR S7 STEM; 74145460 -BHR ACE CUP 60MM; 74650002 - MOD SLEEVE 0MM
Patient Outcome(s) Hospitalization; Required Intervention;
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