Model Number 1010-11-040 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Ossification (1428); Muscular Rigidity (1968); Pain (1994); Limited Mobility Of The Implanted Joint (2671); No Code Available (3191)
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Event Date 05/01/2019 |
Event Type
Injury
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Manufacturer Narrative
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(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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Clinical adverse event received for heterotopic ossification.Limited range of motion.Event is serious and is considered moderate.Event is definitely not related to device and definitely related to procedure.Date of implant: (b)(6) 2019, date of event: (b)(6) 2019, (right hip).Treatment: radiation and excision of heterotopic ossification.
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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.
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Event Description
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Medical records received and were reviewed: revision operative notes (b)(6) 2020 indicate the patient received a right total hip surgical excision due to pain, limited range of motion, stiffness and heterotopic ossification.The surgical excision of heterotopic ossification along with irrigation and debridement was completed without indication of complication by the surgeon.No implants were revised.
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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.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.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed, and the investigation will be re-opened as necessary.
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Search Alerts/Recalls
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