(b)(4).Concomitant medical products: 15-103692 680910 universal alternative bearing shell 62mm 2-hole with screw 41 mm i.D.Taper/ porous coated, 15-105004 021690 m2a taper liner 32mm i.D.Size 41mm o.D.Taper, 103207 675870 modual taperloc femoral porous coated 13.5 x 147mm type i taper.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2017 - 03599, 0001825034 - 2017 - 03600, 0001825034 - 2017 - 03602.
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It was reported that the patient experienced pain, dislocation, metallosis, component loosening, elevated metal ion levels and lack of mobility post-implantation.Attempts have been made and additional information on the reported event is unavailable at this time.
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