FDA Adverse Event Injury Summary report: N

UNKNOWN MOM HIP

MDR report key: 6945044 · Received October 12, 2017

Report

Report Number
0001825034-2017-08590
Event Type
Injury
Date Received
October 12, 2017
Report Date
October 12, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KWA
PMA / PMN Number
PN/A
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

LAINIALA, O., ELO, P., REITO, A., PAJAMAKI, J., PUOLAKKA, T., ESKELINEN, A. (2014) GOOD SENSITIVITY AND SPECIFICITY OF ULTRASOUND FOR DETECTING PSEUDOTUMORS IN 83 FAILED METAL-ON-METAL HIP REPLACEMENTS. ACTA ORTHOPAEDICA 2015; 86(2): X-X. DOI 10.3109/17453674.2014.1001970. SUBMITTED 2014-07-25. ACCEPTED 2014-11-01. THE PRODUCT WAS NOT AVAILABLE FOR RETURN. AVAILABLE INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION TO THE CAUSE OF THE EVENT. PART AND LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS AND COMPLAINT HISTORY, NEITHER WERE PROVIDED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. THIS REPORT IS BEING SUBMITTED LATE AS IT HAS BEEN IDENTIFIED IN REMEDIATION.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED BASED ON A REVIEW OF A JOURNAL ARTICLE TITLED, "GOOD SENSITIVITY AND SPECIFICITY OF ULTRASOUND FOR DETECTING PSEUDOTUMORS IN 83 FAILED METAL-ON-METAL HIP REPLACEMENTS" WHICH AIMED TO EVALUATE THE SENSITIVITY AND SPECIFICITY OF ULTRASOUND (US) FOR DETECTING PSEUDOTUMORS IN A COHORT OF PATIENTS WITH FAILED METAL ON METAL HIP REPLACEMENTS. THIS COMPLAINT REPRESENTS REVISION DUE TO ILIPSOAS REGION PSEUDOTUMOR FOUND IN TWENTY-THREE (23) HIPS. THERE HAS NO FURTHER INFORMATION PROVIDED AND THE PATIENT OUTCOME IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
726251 UNKNOWN MOM HIP PROSTHESIS - HIP KWA ZIMMER BIOMET, INC. N/A UNKNOWN LOT

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R