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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW ORTHOPAEDICS LTD MODULAR HEAD 50 MM -8MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING

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SMITH & NEPHEW ORTHOPAEDICS LTD MODULAR HEAD 50 MM -8MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING Back to Search Results
Catalog Number 74121250
Device Problems Adverse Event Without Identified Device or Use Problem (2993); Insufficient Information (3190)
Patient Problem Injury (2348)
Event Date 03/17/2020
Event Type  Injury  
Event Description
It was reported a revision surgery was performed due to metallosis, alval, and tunionosis visable.Cup and head removed, stem insitu.
 
Manufacturer Narrative
It was reported that revision surgery was performed.As of today, the implanted devices, all of which were used in treatment, and additional information have been requested for this complaint but have not become available.A review of the complaint history for the acetabular cup, synergy stem, and modular head was performed using batch numbers in search of similar recurring reports for the products during their lifetimes.No other similar complaints were identified for the modular head and synergy stem.A similar complaint has been identified for the acetabular cup.This will continue to be monitored.In the absence of the actual devices, the production records were reviewed for the devices reportedly involved in this incident.All the released devices involved met manufacturing specifications at the time of production.Review of the product ifu found adequate warnings and precautions in relation to the alleged failure modes.A risk management review was performed.No additional risks were identified as result of the reported event.It is noted no x-rays or medical records are available and the implants will not be returned.To date no medical records have been received.Without supporting medical documentation and the return of the device, a thorough medical assessment cannot be performed.In the event medical/clinical records or the implant are received, the clinical task will be re-opened and a thorough assessment may be rendered at that time.Without return of the actual devices or further information we cannot further investigate or confirm the details supplied in this complaint, and our investigation remains inconclusive.If the products or additional information become available in the future, this case will be reopened.No preventative or corrective action has been initiated as a result of this investigation.
 
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Brand Name
MODULAR HEAD 50 MM -8MM
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING
Manufacturer (Section D)
SMITH & NEPHEW ORTHOPAEDICS LTD
aurora house
spa park
leamington spa CV31 3HL
UK  CV31 3HL
MDR Report Key9964957
MDR Text Key187856847
Report Number3005975929-2020-00114
Device Sequence Number1
Product Code NXT
Combination Product (y/n)N
PMA/PMN Number
P040033
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 05/15/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/15/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number74121250
Device Lot Number51982
Date Manufacturer Received05/14/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
71309013 / 05CM19188; 74120156 / 51034
Patient Outcome(s) Hospitalization; Required Intervention;
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