FDA Adverse Event Injury Summary report: N

CONTINUUM TM SHELL W/CLUSTER HOLES POROUS

MDR report key: 2230758 · Received August 23, 2011

Report

Report Number
1822565-2011-01949
Event Type
Injury
Date Received
August 23, 2011
Date of Event
June 28, 2011
Report Date
July 26, 2011
Manufacturer
ZIMMER, INC.
Product Code
LPH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE ALLEGED ISSUE OF DAMAGED THREAD IN THE CONTINUUM SHELL WAS FOUND TO BE CORRECT. IT APPEARS THAT THE THREADS HAD BEEN CROSS THREADED WHEN ATTACHING THE IMPACTOR. THIS IS FOUND FROM THE LEADING THREAD DAMAGE AND THE DIFFERENT IMPACT SITES AROUND THE TREADS, SHOWING THAT THE THREADS HAD NOT GAINED ANY ENGAGEMENT WITH THE IMPACTOR PRIOR TO USE. EVALUATION: THE DEVICE HISTORY RECORD WAS REVIEWED AND THE DEVICE WAS FOUND TO BE CONFORMING AT THE TIME OF MANUFACTURING.

Description of Event or Problem · 1

IT IS REPORTED THAT AS THE SURGEON TRIED TO IMPLANT THE CUP, IT WOULD NOT STAY ATTACHED TO THE CUP INSERTER. SURGEON FELT IT WAS THE CUP THREADS THAT WERE THE PROBLEM. ANOTHER CUP OF THE SAME SIZE WAS OPENED AND USED TO COMPLETE THE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONTINUUM TM SHELL W/CLUSTER HOLES POROUS LPH ZIMMER, INC. 61742002

Patients

Seq Age Sex Outcome Treatment
1 26 YR