| Model Number |
104.3605 |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
|
| Health Effect - Clinical Code |
Joint Dislocation (2374)
|
| Date of Event |
02/09/2026
|
|
Type of Reportable Event
|
Serious Injury
|
|
Additional Manufacturer Narrative
|
|
Per (b)(4) initial report.Additional information including: - post primary and pre revision x-rays.- operative notes (primary and revision) - patient weight, activity level and medical history - did the patient follow correct post-op protocol? - what was the patient doing at the time of the dislocations? - did the patient experience any slips / falls or other trauma post primary surgery? - an update on the patient post revision.Has been requested in order to progress with the investigation of this event and if received, will be provided in a supplemental report upon completion of the investigation the appropriate device details have been provided and the relevant device manufacturing records will be identified and reviewed.Please note: this report is filed with the fda due to an adverse event experienced with a device that is similar to those placed on the market in the usa, however, this event occured outside of the usa.The submission of this report does not constitute an admission that the device, reporting entity, entity's representative or distributor caused or contributed to this event.
|
| |
|
Event or Problem Description
|
|
Trinity-i plus revision of the cup, screw, ecima liner and biolox delta ceramic head after approximately 1 year, 10 months and 2 weeks due to dislocation.
|
| |
|
Event or Problem Description
|
|
Trinity-i plus revision of the cup, screw, ecima liner and biolox delta ceramic head after approximately 1 year, 10 months and 2 weeks due to dislocation.
|
| |
|
Additional Manufacturer Narrative
|
|
Per (b)(4) final report.Please note: 6b was amended as it was identified that the correct date of primary surgery was(b)(6) 2024.Additional information including: post primary and pre revision x-rays.Operative notes (primary and revision).Patient weight, activity level and medical history.Did the patient follow correct post-op protocol? what was the patient doing at the time of the dislocations? did the patient experience any slips / falls or other trauma post primary surgery? an update on the patient post revision.Was requested in order to progress with the investigation of this event, however none of this information was provided and thus the scope of the investigation was limited.The appropriate device details were provided and the relevant device manufacturing records have been identified and reviewed.All final parts associated with these records conformed to material and dimensional specification at the time of manufacture.Based on the available information, no further investigation can be conducted and the root cause of the reported dislocation could not be determined.Therefore, this case is now considered closed, however, should any additional information be provided then this case may be re-opened for further investigation.Please note: this report is filed with the fda due to an adverse event experienced with a device that is similar to those placed on the market in the usa, however, this event occured outside of the usa.The submission of this report does not constitute an admission that the device, reporting entity, entity's representative or distributor caused or contributed to this event.
|
| |
|
Search Alerts/Recalls
|