MAUDE Adverse Event Report: CORIN LTD TRINITY-I; TRINITY-I ACETABULAR SHELL

Model Number	321.04.354
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Bone Fracture(s) (1870)
Date of Event	03/30/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Trinity dual mobility revision of all components after approximately 2 years and 1 month due to a peri-prosthetic fracture following a fall and also infection.
Additional Manufacturer Narrative
Per comp (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? - 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 filled 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 the event.

• Brand Name: TRINITY-I
• Common Device Name: TRINITY-I ACETABULAR SHELL
• Manufacturer (Section D): CORIN LTD; the corinium centre; cirencester, gloucestershire GL7 1 YJ; UK GL7 1YJ
• Manufacturer (Section G): CORIN LTD; the corinium centre; cirencester, gloucestershire GL7 1 YJ; UK GL7 1YJ
• Manufacturer Contact: franck didier ; the corinium centre; cirencester, gloucestershire GL7 1-YJ ; UK GL7 1YJ
• MDR Report Key: 24936011
• Report Number: 9614209-2026-00052
• Device Sequence Number: 17438283
• Product Code: LZO
• UDI-Device Identifier: 05055343870617
• UDI-Public: 05055343870617
• Combination Product (Y/N): N
• Initial Reporter Country: AS
• PMA/510(K) Number: K122305
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2024
• Device Explanted Year: 2026
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 06/09/2026

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?: No
• Operator of Device: Health Professional
• Device Model Number: 321.04.354
• Device Catalogue Number: N/A
• Device Lot Number: 546316
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/31/2026
• Supplement Date Received by Manufacturer: 03/31/2026
• Initial Report FDA Received Date: 04/21/2026
• Supplement Report FDA Received Date: 06/09/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 12/18/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: TRINITY BIOLOX CERAMIC HEAD: 104.2800, 547735; TRINITY DM COCR LINER: 321.04.540, 522237; TRINITY DM ECIMA INSERT: 325.04.042, 532103; TRINITY SCREW: 321.020, 548593
• Outcome Attributed to Adverse Event: Required Intervention; Hospitalization
• Patient Sex: Male