G7 BISPHERICAL SHELL 50D
Report
- Report Number
- 3002806535-2025-00614
- Event Type
- Injury
- Date Received
- December 15, 2025
- Date of Event
- September 4, 2025
- Report Date
- May 12, 2026
- Manufacturer
- BIOMET UK LTD.
- Product Code
- LPH
- UDI-DI
- 05019279515684
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D4: THIS DEVICE IS SOLD OUTSIDE THE US AND THEREFORE NO GUDID INFORMATION EXISTS. THIS DEVICE IS CONSIDERED SIMILAR TO (B)(4). D10: ITEM NAME# G7 NEUTRAL E1 LINER 32MM D; ITEM NUMBER# 010000848; LOT# 6334937. ITEM NAME# DELTA CER FEM HD 32/-3MM T1; ITEM NUMBER# 650-1163; LOT# 2019091998. ITEM NAME# TAPERLOC COMPLETE PPS, REDUCED DISTAL 10 140; ITEM NUMBER# 51103100; LOT# 6543127. G2: FOREIGN - EVENT OCCURRED IN NETHERLANDS. G4: THE REPORTED PRODUCT IS NOT SOLD IN THE US, THE PRE-MARKET SUBMISSION NUMBER FOR THE SIMILAR PRODUCT SOLD IN THE US IS K101336. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
IT WAS REPORTED THAT THE PATIENT UNDERWENT HIP REVISION SURGERY DUE TO ASEPTIC LOOSENING OF THE CUP, APPROXIMATELY 5 YEARS, 7 MONTHS, AND 25 DAYS POST-IMPLANTATION. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 612273 | G7 BISPHERICAL SHELL 50D | PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED | LPH | BIOMET UK LTD. | 6153403 | 05019279515684 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |