FDA Adverse Event Injury Summary report: N

TRILOGY LONGEVITY HIGLY CROSSLINKED LINER

MDR report key: 5271993 · Received December 7, 2015

Report

Report Number
1822565-2015-02574
Event Type
Injury
Date Received
December 7, 2015
Date of Event
December 13, 2011
Report Date
December 10, 2015
Manufacturer
ZIMMER INC
Product Code
LZO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO DEVICES OR PHOTOS WERE RECEIVED SINCE THE DEVICES STILL REMAIN IMPLANTED; THEREFORE THE CONDITION OF THE COMPONENTS IS UNKNOWN. REVIEW OF THE OPERATIVE NOTES CONFIRMS THAT THE PATIENT UNDERWENT LEFT TOTAL HIP REPLACEMENT DUE TO OSTEOARTHRITIS. IT WAS NOTED THAT THE TRIALS GAVE EXCELLENT STABILITY. THE TRIALS WERE REMOVED AND FINAL COMPONENTS WERE IMPLANTED WHICH ALSO GAVE EXCELLENT STABILITY. NO COMPLICATIONS WERE NOTED. REVIEW OF THE CONSULTATION NOTES STATES THAT THE PATIENT WAS OPENING A CAR DOOR AND WENT TO TURN AROUND AND FELT A POP IN HER LEG. THE PATIENT HAD IMMEDIATE PAIN AND INABILITY TO BEAR WEIGHT. INITIAL PHYSICAL EXAMINATION NOTED THAT THE PATIENT'S LEFT LOWER EXTREMITY WAS STUCK IN EXTERNAL ROTATION. IT WAS ALSO NOTED IN THE NOTES THAT THE RADIOGRAPHS SHOWED THAT THE PATIENT HAD A LEFT ANTERIOR HIP DISLOCATION AND THE PATIENT HAD NO OTHER NOTED FRACTURES OR CHANGE IN POSITIONING OF HIP COMPONENTS. IT WAS ALSO NOTED THAT THE PATIENT UNDERWENT CLOSED REDUCTION AND THE PATIENT WAS TO BE FEELING SIGNIFICANTLY BETTER AFTER THE PROCEDURE. ADHERENCE TO REHABILITATION PROTOCOL IS UNKNOWN. REVIEW OF THE COMPATIBILITY OF THE DEVICES CONFIRMED THAT THESE ARE AN APPROVED COMPATIBLE COMBINATION. A DEFINITE ROOT CAUSE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED. THESE DEVICES ARE USED FOR TREATMENT.

Additional Manufacturer Narrative · 1

(B)(4). OTHER DEVICE USED: CATALOG #00877503201, BIOLOX DELTA HEAD, LOT #2591037 - MANUFACTURED BY ZIMMER (B)(4). THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT IS REPORTED A PATIENT'S HIP DISLOCATED AFTER TWISTING. A CLOSED REDUCTION WAS PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
800703 TRILOGY LONGEVITY HIGLY CROSSLINKED LINER LZO LZO ZIMMER INC 61780367

Patients

Seq Age Sex Outcome Treatment
1 66 YR Other