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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS INC US UNKNOWN HIP FEMORAL HEAD

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DEPUY ORTHOPAEDICS INC US UNKNOWN HIP FEMORAL HEAD Back to Search Results
Catalog Number UNK HIP FEMORAL HEAD
Device Problems Corroded (1131); Degraded (1153); Device Dislodged or Dislocated (2923)
Patient Problems Joint Dislocation (2374); No Code Available (3191)
Event Date 03/24/2014
Event Type  Injury  
Manufacturer Narrative
(b)(4).
 
Event Description
"the literature article entitled, ""do you have to remove a corroded femoral stem"" written by nitin goyal, md, henry ho, ms, kevin b.Fricka, md, and charles a.Engh jr.Md published by the journal of arthroplasty 29 suppl.2 (2014) 139-142 accepted by publisher 24 march 2014 was reviewed.The article's purpose was to report upon 86 retrieved femoral heads with note of corrosion while leaving a well fixed stem in place regardless of the degree of corrosion.All implants were depuy products without provision of identified platforms.The article reports all retrieved femoral heads were related to revision surgeries associated with poly wear.No further information provided on original revision reasons.The article does not provide information if corrosion was noted on the femoral stem.The article reports after revision surgery and exchange of heads and liners, 7 re-revisions were provided with reasons along with any note of corrosion on femoral head taper which are captured individually in linked complaints.Depuy products utilized: cocr femoral head, poly liner, cocr stem.No information provided for acetabular cup." this complaint captures case 6 that required re-revision 2.19 years from initial revision for recurrent dislocation/subluxation with note of severe corrosion on 2nd retrieved ball.
 
Manufacturer Narrative
Product complaint # (b)(4).Investigation summary
=
> no device associated with this report was received for examination.A worldwide lot specific complaint database search, or device history record (dhr) review, was not possible because the required lot number was not provided.Based on previous investigations, this complication of joint replacement is unlikely to have been the result of a device failing to meet required specifications.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.If information is obtained that was not available for the initial medwatch, a follow-up medwatch, a follow-up medwatch will be filed as appropriate.
 
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Brand Name
UNKNOWN HIP FEMORAL HEAD
Type of Device
HIP FEMORAL HEAD
Manufacturer (Section D)
DEPUY ORTHOPAEDICS INC US
700 orthopaedic drive
warsaw IN 46581 0988
Manufacturer (Section G)
JTE WARSAW MFG SITE
700 orthopaedic drive
warsaw IN 46582
Manufacturer Contact
kara ditty-bovard
1210 ward avenue
west chester, PA 19380-0988
6103142063
MDR Report Key9411892
MDR Text Key170668907
Report Number1818910-2019-117480
Device Sequence Number1
Product Code KXA
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type literature
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 11/12/2019
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 NumberUNK HIP FEMORAL HEAD
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/12/2019
Initial Date FDA Received12/04/2019
Supplement Dates Manufacturer Received01/03/2020
Supplement Dates FDA Received01/07/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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