Catalog Number 121701048 |
Device Problems
Device Dislodged or Dislocated (2923); Noise, Audible (3273)
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Patient Problems
Pain (1994); Joint Laxity (4526); Unspecified Musculoskeletal problem (4535); Insufficient Information (4580)
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Event Date 03/02/2023 |
Event Type
Injury
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Manufacturer Narrative
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Product complaint # (b)(4).E3 initial reporter occupation: lawyer.This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Event Description
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(b)(6) 2021: patient underwent a right total hip replacement.(b)(6) 2023: patient underwent a right hip revision due to pain, feeling of shifting, and grinding/crepitus.X-rays showed anterior subluxation of the femoral head.Intra-op the polyethylene had disassociated from the shell and head was abrading on the anterior aspect of the acetabular shell.Post-op note also indicated the polyethylene liner was broken.The cup, liner and femoral head were revised.Doi: (b)(6) 2021 dor: (b)(6) 2023 affected site: right hip.
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Manufacturer Narrative
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Product complaint # (b)(4) investigation summary: no device associated with this report was received for examination.A search of the depuy nonconformance (nc) quality system found no nc¿s associated with this product 121701048 / lot j17y14 combination.As part of our company quality system process, all devices are manufactured, inspected, and distributed to approved specifications.Additional complaint information monitoring for potential safety signals will be conducted through complaint trending as part of the post-market surveillance.If additional information is made available, the investigation will be updated as applicable.Device history lot: a search of the depuy nonconformance (nc) quality system found no nc¿s associated with this product 121701048 / lot j17y14 combination.
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Search Alerts/Recalls
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