FDA Adverse Event Injury Summary report: N

UNKNOWN HIP PROSTHESIS

MDR report key: 3172743 · Received June 17, 2013

Report

Report Number
3002806535-2013-00105
Event Type
Injury
Date Received
June 17, 2013
Report Date
October 21, 2015
Manufacturer
BIOMET UK LTD.
Product Code
LPH
PMA / PMN Number
PUNKNOWN
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED. NO INFORMATION REGARDING A REVISION PROCEDURE HAS BEEN RECEIVED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. NO FURTHER COMPLICATIONS HAVE BEEN REPORTED. THE FOLLOWING SECTIONS COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED. DATE OF EVENT - UNKNOWN. EXPIRATION DATE - UNKNOWN. IMPLANT DATE - 2006 (EXACT DATE UNKNOWN). MANUFACTURE DATE - UNKNOWN. THIS REPORT IS BASED ON ALLEGATIONS SET FORTH IN PLAINTIFF¿S COMPLAINT, AND THE ALLEGATIONS CONTAINED THEREIN ARE UNVERIFIED.

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING FILED TO RELAY THAT THIS MDR REPORT IS A DUPLICATE OF 1825034-2014-07655.

Description of Event or Problem · 1

A POTENTIAL CLAIM WAS RECEIVED BY PATIENT'S LEGAL COUNSEL THAT MEDICAL NEGLIGENCE OCCURRED DURING A HIP REPLACEMENT PROCEDURE IN 2006. NO FURTHER INFORMATION HAS BEEN RECEIVED. THIS REPORT IS BASED ON ALLEGATIONS SET FORTH IN PATIENT¿S COMPLAINT AND THE ALLEGATIONS CONTAINED THEREIN ARE UNVERIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
274429 UNKNOWN HIP PROSTHESIS PROSTHESIS, HIP LPH BIOMET UK LTD. N/A UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization