FDA Adverse Event Injury Summary report: N

ASR ACETABULAR CUPS 56

MDR report key: 2832511 · Received November 14, 2012

Report

Report Number
1818910-2012-24897
Event Type
Injury
Date Received
November 14, 2012
Report Date
October 22, 2012
Manufacturer
DEPUY INTERNATIONAL
Product Code
KWA
PMA / PMN Number
K040627
Removal / Correction Number
Z1749/1816-2011
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

DEPUY STILL CONSIDERS THIS INVESTIGATION CLOSED.

Additional Manufacturer Narrative · 1

THE ASR PLATFORM WAS VOLUNTARILY RECALLED FROM THE MARKET IN AUGUST 2010, AND THE ASR PRODUCT CODES ARE NOW CONSIDERED INACTIVE. FURTHER INVESTIGATION OF THIS INDIVIDUAL INCIDENT WILL NOT BE UNDERTAKEN, AS THERE IS AN ONGOING INVESTIGATION REGARDING THE ROOT CAUSE(S) AND/OR CORRECTIVE ACTIONS. (B)(4).DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD THE PRODUCT AND/OR ADDITIONAL INFORMATION BE RECEIVED, THE INVESTIGATION WILL BE RE-OPENED.

Description of Event or Problem · 1

LITIGATION ALLEGES PATIENT HAD PAIN AND DISCOMFORT WHICH AFFECTS ABILITY TO WALK, SLEEP AND MOVE; AND ELEVATED METAL LEVELS IN BLOOD AFTER ASR HIP IMPLANT.

Description of Event or Problem · 1

LITIGATION ALLEGES PATIENT HAD PAIN AND DISCOMFORT WHICH AFFECTS ABILITY TO WALK, SLEEP AND MOVE; AND ELEVATED METAL LEVELS IN BLOOD AFTER ASR HIP IMPLANT. **UPDATE** (B)(4) 2012 - PLAINTIFF'S PRELIMINARY DISCLOSURE FORM WAS RECEIVED, WHICH IDENTIFIED PART/LOT INFORMATION. THE COMPLAINT AND ASSOCIATED MDRS WERE UPDATED. THERE WAS NO NEW INFORMATION THAT WOULD CHANGE THE OUTCOME OF THE INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ASR ACETABULAR CUPS 56 TOTAL HIP REPLACEMENT KWA DEPUY INTERNATIONAL 2610291

Patients

Seq Age Sex Outcome Treatment
1 Other