FDA Adverse Event Injury Summary report: N

REGENEREX RINGLOC 60MM SOLID ACETABULAR CUP W/ APICAL HOLE SIZE 25 W/ LOCK RING

MDR report key: 1953076 · Received January 7, 2011

Report

Report Number
1825034-2011-00006
Event Type
Injury
Date Received
January 7, 2011
Date of Event
November 18, 2010
Report Date
December 8, 2010
Manufacturer
BIOMET ORTHOPEDICS
Product Code
LPH
PMA / PMN Number
K070369
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE AVAILABLE FOR EVALUATION - ONLY THE LOCKING RING WAS RETURNED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. REVIEW OF DEVICE HISTORY RECORDS SHOW THAT LOT RELEASED WITH NO RECORDED ANOMALY OR DEVIATION. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT STATE THAT THIS TYPE OF EVENT CAN OCCUR: UNDER WARNINGS, IT STATES, "MALALIGNMENT OF THE COMPONENTS OR INACCURATE IMPLANTATION CAN LEAD TO EXCESSIVE WEAR AND/OR FAILURE OF THE IMPLANT OR PROCEDURE". DIMENSIONAL EVALUATION FOUND THE LOCKING RING TO BE WITHIN APPROPRIATE DESIGN SPECIFICATION. THE USER FACILITY WAS NOTIFIED OF THE EVENT ON (B)(6), 2011. TO DATE, A RESPONSE HAS NOT BEEN RECEIVED FROM THE USER FACILITY. IN THE EVENT THAT THE USER FACILITY SUBMITS A MEDWATCH REPORT, BIOMET WILL FORWARD A COPY TO THE FDA. THIS REPORT SUBMITTED (B)(4), 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT HIP PROCEDURE ON (B)(6), 2010. DURING THE PROCEDURE, WHEN ATTEMPTING TO INSERT THE LINER, THE LOCKING RING DISENGAGED FROM THE CUP. THE LOCKING RING WAS REINSERTED AND NUMEROUS UNSUCCESSFUL ATTEMPTS WERE MADE TO INSERT THE LINER. THE PROCEDURE WAS COMPLETED USING ANOTHER LINER THAT WAS ON HAND, BUT ONLY AFTER A DELAY OF MORE THAN HALF AN HOUR HAD OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REGENEREX RINGLOC 60MM SOLID ACETABULAR CUP W/ APICAL HOLE SIZE 25 W/ LOCK RING PROSTHESIS, HIP LPH BIOMET ORTHOPEDICS N/A 623100

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R