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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MICROPORT ORTHOPEDICS INC. DYNASTY® A-CLASS® 15DG POLY LINER 36MM GROUP G; HIP COMPONENT

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MICROPORT ORTHOPEDICS INC. DYNASTY® A-CLASS® 15DG POLY LINER 36MM GROUP G; HIP COMPONENT Back to Search Results
Model Number DLXPLG36
Device Problems Detachment of Device or Device Component (2907); Naturally Worn (2988)
Patient Problem Insufficient Information (4580)
Event Type  Injury  
Manufacturer Narrative
This event will be updated once the investigation is complete.Trends will be evaluated.
 
Event Description
Allegedly, an info received from local sales rep that a curious frequency of revisions (two done early 2023, and other two scheduled for next (b)(6) 2023 in two hospitals) of dynasty a-class liners due to high wear rate after 6 to 8 yrs post op.No enough info available regarding the already-done revisions, we will collect info and explants from the scheduled ones.
 
Manufacturer Narrative
Section b.5: description has been updated/ section d.1: brand name has been updated/ section d.2b.Procode: has been updated/ section d.4: model and lot # has been updated/ section d.6.A and b:implanted date and explanted date has been added/ h.6: medical device problem code has been added.
 
Event Description
Allegedly, an info received from local sales rep that a curious frequency of revisions (two done early 2023, and other two scheduled for nexton (b)(6) 2023 in two hospitals) of dynasty a-class liners due to high wear rate after 6 to 8 yrs post op.No enough info available regarding the already-done revisions, we will collect info and explants from the scheduled ones.Additional information received on 07/18/2023: allegedly, from my early investigation of the third liner explant, it seemed much more a locking mechanism issue than wear, as the liner does not look thinned out, and the femoral head showed a black mark demonstrating friction against the cup, which might mean that the liner flipped into the cup.
 
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Brand Name
DYNASTY® A-CLASS® 15DG POLY LINER 36MM GROUP G
Type of Device
HIP COMPONENT
Manufacturer (Section D)
MICROPORT ORTHOPEDICS INC.
5677 airline rd.
arlington TN 38002
Manufacturer Contact
rachael wise
5677 airline road
arlington, TN 38002
9018674771
MDR Report Key17249602
MDR Text Key318345426
Report Number3010536692-2023-00131
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
Reporter Country CodeIT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,Followup
Report Date 02/23/2024
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 Other
Device Model NumberDLXPLG36
Device Catalogue NumberDLXPLG36
Device Lot Number1535623
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 06/15/2023
Initial Date FDA Received07/03/2023
Supplement Dates Manufacturer Received06/15/2023
06/15/2023
Supplement Dates FDA Received01/11/2024
02/23/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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