BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRILOGY LONGEVITY POLY LINER

    MDR report key: 2802579 · Received October 19, 2012

    Report

    Report Number
    2648920-2012-00222
    Event Type
    Malfunction
    Date Received
    October 19, 2012
    Date of Event
    August 24, 2012
    Report Date
    September 21, 2012
    Manufacturer
    ZIMMER
    Product Code
    LPH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WIL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE LINER WOULDN'T SEAT INTO THE TRILOGY CUP. A NEW LINER WAS OPENED AND IMPLANTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRILOGY LONGEVITY POLY LINER LPH ZIMMER 62000513

    Patients

    Seq Age Sex Outcome Treatment
    1