FDA Adverse Event Injury Summary report: N

REGENEREX RINGLOC 60MM MULTI-HOLE ACETABULAR CUP SIZE 25

MDR report key: 2173855 · Received July 24, 2011

Report

Report Number
1825034-2011-00598
Event Type
Injury
Date Received
July 24, 2011
Report Date
June 21, 2011
Manufacturer
BIOMET ORTHOPEDICS
Product Code
LPH
PMA / PMN Number
K070369
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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. "LOOSENING OR MIGRATION OF THE IMPLANTS CAN OCCUR DUE TO LOSS OF FIXATION, TRAUMA, MALALIGNMENT, BONE RESORPTION, OR EXCESSIVE ACTIVITY." EVENT DATE - THERE HAS BEEN NO REVISION TO DATE. THIS REPORT FILED (B)(6), 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT LEFT HIP REVISION ARTHROPLASTY ON (B)(6), 2008 DUE TO PAIN. THE PATIENT CONTINUED TO EXPERIENCE MILD PAIN AND A SUBSEQUENT FOLLOW-UP VISIT WITH THE SURGEON WHERE RADIOGRAPHIC IMAGES WERE TAKEN REVEALED ACETABULAR CUP MIGRATION. NO FURTHER REVISION PROCEDURE HAS BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REGENEREX RINGLOC 60MM MULTI-HOLE ACETABULAR CUP SIZE 25 PROSTHESIS, HIP LPH BIOMET ORTHOPEDICS N/A 166070

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R