Model Number 1217-22-054 |
Device Problem
Migration or Expulsion of Device (1395)
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Patient Problems
No Known Impact Or Consequence To Patient (2692); Unspecified Musculoskeletal problem (4535)
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Event Date 01/01/2018 |
Event Type
Injury
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Manufacturer Narrative
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Product complaint # (b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Event Description
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During conversation with dr.(b)(6) yesterday he mentioned a patient came into his clinic last week with a disassociated liner (121932054) and will be revised on (b)(6).He said the primary surgery was about a year ago, but more details will be added during the revision.According to the post op dictation the following implants are implanted: 121722054, 121725500, 121932054, 136522000, 101204040.A confirmation of codes and lot #s will be available at time of revision.Patient consequence? yes.Patient consequence description: revision hip required.Action taken for procedure: cup and liner will be revised in a couple of weeks.Is the information being submitted for this complaint all the details that are known/available regarding this event? yes.
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Manufacturer Narrative
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If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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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 device history record (dhr) review, was not possible because the required lot code(s) was not provided.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 will be filed as appropriate.
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Search Alerts/Recalls
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