FDA Adverse Event Malfunction Summary report: N

FEM RASP TRIAL CO/FJD T11

MDR report key: 7544193 · Received May 25, 2018

Report

Report Number
1818910-2018-60501
Event Type
Malfunction
Date Received
May 25, 2018
Report Date
April 26, 2018
Manufacturer
DEPUY FRANCE SAS - 3003895575
Product Code
LXH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT #: (B)(4). INVESTIGATION SUMMARY: THE DEVICE WAS NOT RETURNED DEPUY SYNTHES CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION MAY BE RE-OPENED AS NECESSARY. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

ESSENTIALLY, THE SURGEON USES THE FIRST GENERATION OF CORAIL INSTRUMENTS AND IS FINDING THAT THERE IS A MISMATCH BETWEEN WHERE THE BROACH SITS AND THE DEFINITIVE STEM. UPON INTRODUCING THE DEFINITIVE HE IS FINDING THAT THE CORAIL STEM SITS A FEW MM PROUDER COMPARED TO THE BROACH AND AS A RESULT (B)(6) HAS RECENTLY HAD TO REVISE PATIENTS FOR PERIPROSTHETIC FRACTURES. DOE: UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
389250 FEM RASP TRIAL CO/FJD T11 MISCELLANEOUS JOINT INSTRUMENTS : CUTTING INSTRUMENTS LXH DEPUY FRANCE SAS - 3003895575 1267417

Patients

Seq Age Sex Outcome Treatment
1