FDA Adverse Event Injury Summary report: N

CONTINUUM TM SHELL WITH CLUSTER HOLES

MDR report key: 5249828 · Received November 25, 2015

Report

Report Number
1822565-2015-02467
Event Type
Injury
Date Received
November 25, 2015
Date of Event
September 17, 2015
Report Date
October 28, 2015
Manufacturer
ZIMMER INC
Product Code
LZO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). OTHER DEVICE USED: CATALOG #00771101020, M/L TAPER STEM, LOT #62130196. CATALOG #00875101436, CONTINUUM, TRILOGY IT, ALLOFIT IT LINER, LOT #62157691 - MANUFACTURED BY ZIMMER B.V., (B)(4). CATALOG #00877503602, BIOLOX DELTA HEAD, LOT #2686825- MANUFACTURED BY ZIMMER (B)(4). IT WAS NOTED FROM THE OPERATIVE NOTES THAT THE TRIAL COMPONENTS GAVE EXCELLENT FIT AND RADIOGRAPHS TAKEN INTRAOPERATIVE ENSURE THE PROPER SIZING AND POSITION. TRIAL COMPONENTS WERE REMOVED AND FINAL COMPONENTS WERE IMPLANTED. LEG LENGTHS WERE MEASURED TO BE EQUALIZED. OFFICE VISIT NOTES STATE THAT THE X-RAYS REVEALED FEW DEGREES VARUS ON STEM AND SOME LUCENT LINES. NO CHANGE IN POSITION OR FRACTURE IS NOTED. IT WAS ALSO NOTED THAT THE PATIENT'S SYMPTOMS ARE CONCERNING FOR EARLY LOOSENING. REVIEW OF THE COMPATIBILITY OF THE DEVICES CONFIRMED THAT THESE ARE AN APPROVED COMPATIBLE COMBINATION. PRODUCT HISTORY SEARCH REVEALED NO ADDITIONAL COMPLAINTS AGAINST THE RELATED PART AND LOT COMBINATIONS. A DEFINITE ROOT CAUSE FOR THE PATIENT'S PAIN CANNOT BE CONFIRMED WITH THE INFORMED PROVIDED. THESE DEVICES ARE USED FOR TREATMENT.

Description of Event or Problem · 1

IT IS REPORTED A PATIENT IS EXPERIENCING PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
780140 CONTINUUM TM SHELL WITH CLUSTER HOLES LZO LZO ZIMMER INC 62297507

Patients

Seq Age Sex Outcome Treatment
1 51 YR Other