Catalog Number 999890146 |
Device Problem
Appropriate Term/Code Not Available (3191)
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Patient Problems
Pain (1994); Injury (2348); No Code Available (3191)
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Event Date 04/19/2016 |
Event Type
Injury
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Manufacturer Narrative
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Product complaint #: (b)(4).Investigation summary: the asr platform was voluntarily recalled from the market in august 2010, and the asr product codes are now considered inactive.Further investigation of this individual incident will not be undertaken.The investigation regarding the root cause(s) and/or corrective actions was conducted under mdd capa-(b)(4).Ongoing post market surveillance is conducted per our procedures for this product.(b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.Recall: z-1749/1816-2011.
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Event Description
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Asr claim.Patient male.The right hip of patient received thr in (b)(6) hospital on (b)(6) 2009; depuy asr¿ xl acetabular systems were implanted.Reportedly patient had been suffering painful for three years.According to recommendation of surgeon the revision surgery was applied on (b)(6) 2016 in the same hospital.The brand name of products used in the revision surgery is pinnacle and details as below: head ref: 1366-36-730, lot:7928606.Acetabular ref:1217-32-054, lot 713963.
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Manufacturer Narrative
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(b)(4).
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Manufacturer Narrative
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Product complaint # (b)(4).Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.
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Search Alerts/Recalls
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