FDA Adverse Event Injury Summary report: N

UNKNOWN HIP ACETABULAR LINERS

MDR report key: 9200299 · Received October 16, 2019

Report

Report Number
1818910-2019-108697
Event Type
Injury
Date Received
October 16, 2019
Date of Event
August 15, 2015
Report Date
September 26, 2019
Manufacturer
DEPUY ORTHOPAEDICS INC US
Product Code
KWY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY ==> NO DEVICE WAS RECEIVED. ROOT CAUSE UNDETERMINED. 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.

Additional Manufacturer Narrative · 1

(B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE. (B)(4).

Description of Event or Problem · 1

THE LITERATURE ARTICLE ENTITLED, "EXTRACTION OF WELL-FIXED EXTENDED POROUS-COATED CEMENTLESS STEMS USING A FEMORAL LONGITUDINAL SPLIT PROCEDURE" WRITTEN BY SATOSHI NAGOYA, MIKITO SASAKI, MITSUNORI KAYA, SHUNICHIRO OKAZAKI, KENJI TATEDA AND TOSHIHIKO YAMASHITA PUBLISHED BY EUR ORTHOP TRAUMATOL (2015) 6:417¿421 DOI 10.1007/S12570-015-0322-2 29 ONLINE ON 29 AUGUST 2015 WAS REVIEWED FOR MDR REPORTABILITY. THE ARTICLE'S PURPOSE IS TO INTRODUCE A USEFUL EXTRACTION PROCEDURE FOR WELL-FIXED FEMORAL STEMS AND REPORT THE CLINICAL RESULTS. THE DATE INCLUDES 12 PATIENTS IN WHICH 11 ARE NOTED TO HAVE IMPLANTED DEPUY PRODUCTS. EACH PATIENT IS CAPTURED IN LINKED COMPLAINTS. THIS COMPLAINT CAPTURES CASE 8 OF A (B)(6) FEMALE WITH A R AML PLUS WITH AN INGROWN FIXATION AND A DURALOC CUP WITH CONSTRAINED POLY LINER AND A COCR FEMORAL HEAD WHO REQUIRED ALL IMPLANTS TO BE EXPLANTED DUE TO ARMD AND FEMORAL NECK FRACTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
992959 UNKNOWN HIP ACETABULAR LINERS HIP ACETABULAR LINERS KWY DEPUY ORTHOPAEDICS INC US

Patients

Seq Age Sex Outcome Treatment
1 70 YR Required Intervention