Model Number 1365-06-000 |
Device Problem
Device Dislodged or Dislocated (2923)
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Patient Problems
Erythema (1840); Fatigue (1849); Inflammation (1932); Pain (1994); Weakness (2145); Joint Dislocation (2374); No Code Available (3191)
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Event Date 04/12/2020 |
Event Type
Injury
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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 worldwide lot specific complaint database search, or manufacturing record evaluation, was not possible as the required lot number was not provided.The information received will be retained for trend analysis, post market surveillance, or other events within the quality system.Initial reporter occupation: lawyer.(b)(4).
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Event Description
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Medical record received.Patient experienced post operative dislocation after revision, inflammation, warmth, presence of erythema, weakness, and pain.Patient underwent left hip closed reduction after dislocation.Doi: (b)(6) 2020.Doe: (b)(6) 2020; (left 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 worldwide lot specific complaint database search, or manufacturing record evaluation, was not possible as the required lot number was not provided.The information received will be retained for trend analysis, post market surveillance, or other events within the quality system.Device history lot: the product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.
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Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.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 joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, 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.Re-captured: h6 (clinical, impact and medical device problem codes).
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Search Alerts/Recalls
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