FDA Adverse Event Injury Summary report: N

CONTINUUM TM SHELL WITH CLUSTER HOLES

MDR report key: 3760814 · Received April 9, 2014

Report

Report Number
1822565-2014-00472
Event Type
Injury
Date Received
April 9, 2014
Report Date
March 11, 2014
Manufacturer
ZIMMER, INC.
Product Code
LZO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NEITHER X-RAYS NOR OPERATIVE NOTES HAVE BEEN PROVIDED FOR REVIEW. IN GENERAL, PT FACTORS THAT MAY AFFECT THE PERFORMANCE OF THE COMPONENTS INCLUDE: AGE, BONE QUALITY, HEIGHT/WEIGHT, ACTIVITY LEVEL, TYPE OF ACTIVITY (LOW IMPACT VS. HIGH IMPACT), AND RELEVANT MEDICAL HISTORY. REHABILITATION PROTOCOL AND ADHERENCE THERETO ARE UNKNOWN. WITH THE INFORMATION PROVIDED, A ROOT CAUSE CANNOT BE DETERMINED. PRODUCT COMPATIBILITY HAS BEEN REVIEWED WITH NO ISSUES NOTED. IT IS NOT SUSPECTED THAT THE PRODUCT FAILED TO MEET SPECIFICATIONS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT CONTRIBUTION TO THE REPORTED PROBLEM. BASED ON THE INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. SHOULD ADDITIONAL SUBSTANTIVE INFORMATION BE RECEIVED, THE COMPLAINT WILL BE REOPENED. ZIMMER, INC. CONSIDERS THE INVESTIGATION CLOSED.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PT IS EXPERIENCING PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
213949 CONTINUUM TM SHELL WITH CLUSTER HOLES LZO ZIMMER, INC. 61859908

Patients

Seq Age Sex Outcome Treatment
1 Other THE FOLLOWING ITEM WAS MANUFACTURED BY (B)(4)| CATALOG #00875200932, LOT #61864856| CONTINUUM LONGEVITY LINER:| VERSYS FEMORAL HEAD:| TRABECULAR METAL FEMORAL STEM:| CATALOG #00801803201, LOT #61123366| (B)(4)| CATALOG #00786401300, LOT #61967812