| | Class 3 Device Recall Dynasty Liners |  |
| Date Initiated by Firm | June 21, 2016 |
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| Date Posted | December 01, 2016 |
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| Recall Status1 |
Terminated 3 on July 01, 2017 |
| Recall Number | Z-0684-2017 |
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| Recall Event ID |
75063 |
| 510(K)Number | K100866 |
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| Product Classification |
Prosthesis, hip, semi-constrained, metal/ceramic/polymer, cemented or non-porous, uncemented - Product Code LZO
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| Product | Dynasty Liners:
REF DLCOGA28, REF DLCOGB32, REF DLCOGC36, REF DLCOGD38, REF DLCOGE40, REF DLCOGF42, REF DLCOGG44, REF DLCOGH48, REF DLCOGJ52, REF DLCOGK56,
For use with the conserve metal head |
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| Code Information |
Serial Numbers: REF DLCOGA28 Seral Numbers: 1509498, 1509897, 107461555, 117476083, 127477625, 0411341968, 0611341969, 0901199714 REF DLCOGB32 Serial Numbers: 1428321, 027403682, 027403684, 027412214, 027412216, 027412218, 027412220, 027412222, 029789268, 048571448, 058605178, 068625411, 069837383, 078628910, 079859721, 087467577, 097474918, 097476396, 097477626, 098657540, 099905615, 099927666, 0101018635, 107480309, 107486655, 109968495, 0111248666, 0111254637, 117486656, 117501983, 119982392, 127504540, 127508429, 0211298850, 0211298851, 0401072608, 0501123237, 0601150684, 0711370347, 0711370832, 0711371855, 0711388872, 0801184970, 0801185465, 0901196484, 0901199209, 0901200444, 0901200704 REF DLCOGC36 Serial Numbers: 1389336, 1411596, 1412300, 1419309, 1421706, 1421872, 1421873, 1425040, 1425041, 1426635, 1441425, 1447128, 1448009, 017395680, 017396168, 017398843, 019752394, 027406078, 027406080, 027406549, 027408437, 027408506, 027412667, 029797073,038565179, 038571449, 039808007, 039823319, 039830311, 058576611, 059835277, 059843767, 059859139, 059869515, 067444752, 068608657, 069876613, 069885333, 077449136, 078628911, 078648401, 078648402, 086356142, 086364960, 087462096, 089905617, 089920491, 089924903, 097475888, 097475891, 097475892, 099932177, 099937595, 0101009548, 108705038, 109966090, 0111273375, 0111274786, 118728271, 119975127, 127506074, 127508430, 127514978, 129979634, 129990530, 0201044377, 0201044378, 0201048252, 0201071222, 0211301143, 0301068674, 0301084452, 0401085769, 0501125124, 0611343376, 0611343377, 0611365354, 0611366004, 0611366646, 0701164679, 0701165562, 0701178783, 0801190509, 0901189893, 0901191386, 0901200880, 0901201441, 0901201663 REF DLCOGD38 Serial Numbers: 1390011, 1422255, 1422256, 017395681, 017396169, 019751147, 019752153, 027404999, 027405000, 027408507, 027408521, 027411898, 027412100, 029793006, 038565180, 038571452, 039808008, 039823320, 039831045, 048576612, 049839752, 059846062, 059846677, 059868799, 059869517, 067445955, 067447299, 068608658, 069884531, 069888788, 077459273, 078628912, 078648403, 087464200, 087466701, 089901144, 089911489, 089922646, 096362335, 096374885, 097472362, 097474113, 097476397, 099932178, 099933792, 099937596, 0101038419, 0101038420, 107482012, 107486663, 108706223, 108716643, 108720178, 109941938, 109970863, 0111274868, 0111274869, 117486664, 117489826, 117501984, 118731716, 119980968, 127466702, 127504541, 127508431, 127512298, 128748672, 129990531, 0201062908, 0301062907, 0301067280, 0301067281, 0301081677, 0401096840, 0401098166, 0401109395, 0501127076, 0511344345, 0601147758, 0601148281, 0601148932, 0611344346, 0611346090, 0611346455, 0701172549, 0801192624, 0801193584, 0801193987, 0801194817, 0901192045, 0901203167, 0901206932, 1001206425, 1291016257, 1291016258, 1291019953, 1291019954, 08991148910 REF DLCOGE40 Serial Numbers: 1383898, 1422893, 017395849, 017396101, 017397513, 017398320, 019747416, 019749028, 019752393, 027404377, 027404964, 027406550, 027406551, 027407780, 039802355, 039809788, 039826200, 048571453, 048571454, 049834730, 049839160, 067436735, 069859138, 069868803, 069869518, 076357782, 077440680, 077453681, 078595478, 078595479, 078648404, 078648405, 079888789, 086362336, 087460119, 087460601, 089904051, 089920496, 096372317, 097472371, 097476398, 099931104, 099933793, 0101022064, 0101022065, 0101030547, 0101030548, 0101042594, 0101042595, 107482014, 107486667, 107486668, 107489825, 109941939, 109944905, 0111271873, 0111272250, 117489816, 117501985, 118722756, 118731717, 119980969, 127504542, 127508432, 127512297, 129990532, 0201057245, 0201064292, 0211295490, 0211301165, 0211302281, 0301064291, 0301081699, 0301083868, 0301084453, 0301095292, 0401095291, 0401096841, 0601165833, 0601165834, 0611361690, 0611361691, 0611364735, 0701170121, 0701170775, 0701171294, 0801194833, 0901194835, 0901207002, 0901208793, 0901208953 REF DLCOGF42 Serial Numbers: 1199809, 1366660, 1422894, 1423547, 017396170, 017397514, 017397515, 017398844, 027406424, 027406553, 027411519, 027411895, 027411896, 027413499, 029789333, 029789334, 029798203, 029809789, 029814314, 029819342, 037413500, 039819343, 049833519, 049839753, 058608659, 059846676, 059857910, 068595480, 069883241, 077449093, 078634682, 078634683, 078648406, 079860580, 079887540, 079894027, 086370088, 087462468, 089914628, 096372318, 097472373, 097476399, 099904052, 099931103, 0101022066, 0101030549, 0101030550, 107482016, 107486669, 107486670, 108705039, 108716644, 109922647, 109937597, 109943610, 109966091, 0111276618, 117496631, 117501986, 118728903, 118744506, 119972083, 127504543, 127509428, 127514975, 127514976, 128749026, 128751278, 129990533, 0201053787, 0201053788, 0201062909, 0201062910, 0201068675, 0211299901, 0301071223, 0301081700, 0301083869, 0401104095, 0401104096, 0501127409, 0611346456, 0701167385, 0701168088, 0701168230, 0701169430, 0701170051, 0711367085, 0901208997, 0901209918, 0901209977, 1101247355, 1101248443, 010103054910 REF DLCOGG44 Serial Numbers: 1383128, 1383366, 1392621, 1428789, 017396171, 017397398, 027404375, 027404965, 027406552, 027408531, 027412079, 027412080, 027412086, 029792981, 029793005, 029799054, 029799055, 038565181, 039828320, 039832455, 048571456, 048576613, 049828319, 049830312, 049839159, 057438911,058608660, 059855232, 059857911, 059860406, 059869519, 067445525, 069888790, 077447460, 077459517, 078608662, 078628913, 078648407, 078657546, 079894757, 087464126, 089915880, 089922080, 096362338, 096374886, 097476400, 097476401, 097480312, 098694868, 098706224, 099932179, 099934263, 099939751, 0101025139, 0101025144, 0101027410, 0101038421, 0101038422, 0101046891, 107481184, 107486653, 107487346, 108705037, 108716645, 108723278, 109966092, 117495711, 117495712, 117505591, 118730735, 118744505, 119975128, 119975129, 127504544, 127513338, 127518295, 127522391, 128747417, 128748669, 129998770, 129998777, 0201057246, 0201059716, 0201059717, 0201076758, 0211275710, 0301076757, 0301085876, 0301085877, 0301099035, 0301099036, 0311294091, 0311295489, 0401099037, 0401100077, 0401100078, 0401106374, 0401112729, 0411306527, 0411307069, 0601153393, 0601154045, 0601155591, 0801181073, 0801181695, 0801181920, 0801183924, 0801199319, 0901210490, 1001213377, 1001214138, 1101232813, 1201256582, 1201256583, 1201257832, 1291000319, 1291000321, 1291025140 REF DLCOGH48 Serial Numbers: 027403685, 027403686, 027410682, 027412223, 027412224, 027412225, 027412226, 078608663, 078648408, 078648409, 089904664, 097471988, 097476402, 097476542, 097477627, 0101042593, 107481183, 109967195, 0111277921, 117486671, 117496632, 127504545, 127508400, 127518297, 0201072609, 0401089450, 0601147117, 0901187425, 1101231165, 1291014716 REF DLCOGJ52 Serial Numbers: 099898795, 0101023111, 0201049895, 0201049896 REF DLCOGK56 Serial Numbers: 099898794, 0201023112, 0201049903, 0201052602, 0201052603 |
Recalling Firm/
Manufacturer |
MicroPort Orthopedics Inc.
5677 Airline Rd
Arlington TN 38002-9501
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| For Additional Information Contact | Rachael Wise
901-867-4771 |
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Manufacturer Reason
for Recall | Revision rate trends from within the MicroPort Orthopedics Inc. database evaluated for the modular head Metal on Metal THA systems show an increasing overall trend from 2009 to present and it was found that there was a specific hazard/harm for suspected tissue reaction to metal debris over one percent for modular head CONSERVE(R) systems and DYNASTY(R)
metal acetabular liner systems. |
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FDA Determined
Cause 2 | Device Design |
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| Action | MicroPort sent an Urgent Field Safety Notice dated June 22, 2016, to all affected customers notifying them of the change in the instructions for use on July 7th, 2016 by email. The firm also notified US hospitals where the implantation surgeries occurred within the last twelve (12) months by letter on July 13th, 2016 delivered by FedEx Priority. Customers were asked to complete and return the enclosed form even if they do not have any affected product to return by fax to 1-901-451-6032 or PostMarket@ortho.microport.com.
For questions regarding this recall call 901-867-4771. |
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| Quantity in Commerce | 6,250 units |
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| Distribution | Worldwide Distribution - US (nationwide) Argentina, Australia, Austria, Belgium, Brazil, Bulgaria, Canada, China, Columbia, Cyprus, Czech Republic, Denmark, Finland, France, Georgia, Germany, Greece, Iran, Italy, Jamaica, Japan, Lithuania, Malaysia, Philippines, Poland, Portugal, Russia, Slovenia, South Africa, South Korea, Spain, Switzerland, Taiwan, Netherlands, Turkey, Arab Emirates, United Kingdom, and Vietnam. |
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| Total Product Life Cycle | TPLC Device Report |
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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| 510(K) Database | 510(K)s with Product Code = LZO
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