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U.S. Department of Health and Human Services

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

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DEPUY ORTHOPAEDICS INC US UNKNOWN HIP FEMORAL AUGMENT Back to Search Results
Catalog Number UNK HIP FEMORAL AUGMENT
Device Problems Loss of Osseointegration (2408); Osseointegration Problem (3003); Migration (4003)
Patient Problems Ossification (1428); Pulmonary Embolism (1498); Bone Fracture(s) (1870); Unspecified Infection (1930); Thrombosis (2100); Inadequate Osseointegration (2646); No Code Available (3191)
Event Type  Injury  
Manufacturer Narrative
Product complaint # (b)(4).Investigation summary
=
> no device associated with this report was received for examination.The information received will be retained for potential series investigations if triggered by trend analysis or other events within the quality system.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed, and the investigation will be re-opened as necessary.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Manufacturer Narrative
(b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.(b)(4).
 
Event Description
The literature article entitled, "single-stage, bilateral, cementless total hip arthroplasty" written by merrill a.Ritter, md, bradley k.Vaughn, md, facs, and laurence d.Frederick, md published by the journal of arthroplasty vol.10 no.2 1995 was reviewed.The article's purpose: review "the clinical and radiographic results of 92 patients who underwent single-stage, bilateral, cementless thas and specifically evaluated them clinically and radiographically for signs of failure." it is noted that depuy and non depuy products were utilized within the study.Procedures were performed between march 1984 and december 1989 with average of 54 years.The article does not identify which specific products are associated with the adverse events.The article does not provide adequate information to determine accurate quantities.Bearing surfaces not discussed within article.Depuy products utilized: srom stems, cementless aml stems, trilock stems; supercup, pca cups, mhp cups, anderson cups, cdh cups, aml cups, arthropore cups adverse events: intraoperative proximal femoral fracture (treatment not specified), peroneal nerve palsies (article specifies only one resolved), pulmonary embolus (treated by anticoagulation therapy), deep venous thrombosis (treated by anticoagulation therapy, revisions for the following reasons: infection, loose cup, subsidence and loosening of stem; radiographic findings of heterotopic ossification (impact to patient unknown).
 
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Brand Name
UNKNOWN HIP FEMORAL AUGMENT
Type of Device
HIP FEMORAL AUGMENT
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, IN 46581-0988
6103142063
MDR Report Key9445655
MDR Text Key185342722
Report Number1818910-2019-122054
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,literatur
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 11/15/2019
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 AUGMENT
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/15/2019
Initial Date FDA Received12/10/2019
Supplement Dates Manufacturer Received01/13/2020
Supplement Dates FDA Received01/14/2020
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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