FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN STEM
MDR report key: 6325212
·
Received February 13, 2017
Report
- Report Number
- 0001822565-2017-00457
- Event Type
- Malfunction
- Date Received
- February 13, 2017
- Report Date
- January 31, 2017
- Manufacturer
- ZIMMER, INC.
- Product Code
- JDG
- PMA / PMN Number
- PNI
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. THE PRODUCT IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY WAS NOT PROVIDED. INITIAL REPORTER - THIS ARTICLE WAS AUTHORED BY JOHANNES C. REICHART, MAXIMILIAN R. VOLKMANN, MAXIMILIAN KOPPMAIR, LARS RACKWITZ, MARTIN LUDEMANN, MAXIMILIAN RUDERT, AND ULRICH NOTH. ¿COMPARATIVE RETROSPECTIVE STUDY OF THE DIRECT ANTERIOR AND TRANSGLUTEAL APPROACHES FOR PRIMARY TOTAL HIP ARTHROPLASTY¿ INTERNATIONAL ORTHOPAEDICS (SICOT) (2015) 39:2309-2313.
Description of Event or Problem · 1
AN UNKNOWN NUMBER OF PATIENTS IDENTIFIED IN THE ARTICLE HAD STEM MALALIGNMENT. NO REVISIONS HAVE BEEN REPORTED AND THE PATIENT OUTCOME IS UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 109072 | UNKNOWN STEM | HIP PROSTHESIS | JDG | ZIMMER, INC. | N/A | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |