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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. UNKNOWN CUP; PROSTHESIS HIP

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ZIMMER BIOMET, INC. UNKNOWN CUP; PROSTHESIS HIP Back to Search Results
Model Number N/A
Device Problem Loose or Intermittent Connection (1371)
Patient Problem Osteolysis (2377)
Event Date 09/05/2018
Event Type  Injury  
Manufacturer Narrative
Concomitant medical products: unknown cup, pn unknown, ln unknown.Multiple mdr reports were filed for this event.Please see reports: 0001822565-2018-06547.Customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
It was reported that a patient a revision due to loosening and osteolysis.Attempts have been made and additional information on the reported event is unavailable at this time.No further information is available.
 
Event Description
Upon receipt of additional information, it has been determined that this device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.
 
Manufacturer Narrative
Upon receipt of additional information, it has been determined that this device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.
 
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Brand Name
UNKNOWN CUP
Type of Device
PROSTHESIS HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key8094382
MDR Text Key128029590
Report Number0001822565-2018-06547
Device Sequence Number1
Product Code KWY
Combination Product (y/n)N
PMA/PMN Number
N/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,health profession
Type of Report Initial,Followup
Report Date 04/16/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/21/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received10/26/2018
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
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