FDA Adverse Event Injury Summary report: N

EXACTECH

MDR report key: 9666343 · Received February 4, 2020

Report

Report Number
1038671-2020-00026
Event Type
Injury
Date Received
February 4, 2020
Date of Event
January 1, 2020
Report Date
February 4, 2020
Manufacturer
EXACTECH, INC.
Product Code
JDI
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE EVALUATION NOTED THAT THIS (B)(6) OLD PATIENT WITH A BMI OF 26.11 WAS IMPLANTED WITH A NOVATION/GXL ACETABULUM LINER. POST-OPERATIVE LEG DISCREPANCY WAS REPORTED TO BE 0.1 MM. AT 39 MONTHS POST IMPLANTATION, THE PATIENT UNDERWENT REVISION FOR WEAR OF THE ACETABULUM LINER AND SECONDARY OSTEOLYSIS. THIS IS PATIENT 6 OF 12 BEING REPORTED FOR PATIENTS LISTED IN TABLE 1 OF THE ARTICLE BEING SUBMITTED. ATTEMPTS WERE MADE TO ACQUIRE ADDITIONAL INFORMATION, HOWEVER; NO ADDITIONAL INFORMATION WAS PROVIDED. WITHOUT ADDITIONAL INFORMATION, WE CANNOT REASONABLY DRAW A CONCLUSION AS TO THE CAUSE OF REVISIONS.

Description of Event or Problem · 1

WC T, HK P, RG V, CF G, EARLY POLYETHYLENE FAILURE IN A MODERN TOTAL HIP PROSTHESIS: A NOTE OF CAUTION, THE JOURNAL OF ARTHROPLASTY (2020), DOI: HTTPS://DOI.ORG/10.1016/J.ARTH.2019.12.043. THIS (B)(6) OLD PATIENT WITH A BMI OF 26.11 WAS IMPLANTED WITH A NOVATION/GXL ACETABULUM LINER. POST-OPERATIVE LEG DISCREPANCY WAS REPORTED TO BE 0.1 MM. AT 39 MONTHS POST IMPLANTATION, THE PATIENT UNDERWENT REVISION FOR WEAR OF THE ACETABULUM LINER AND SECONDARY OSTEOLYSIS. ATTEMPTS WERE MADE TO ACQUIRE ADDITIONAL INFORMATION, HOWEVER; NO ADDITIONAL INFORMATION WAS PROVIDED. WITHOUT ADDITIONAL INFORMATION, WE CANNOT REASONABLY DRAW A CONCLUSION AS TO THE CAUSE OF REVISIONS. THIS IS PATIENT 6 OF 12 BEING REPORTED FOR PATIENTS LISTED IN TABLE 1 OF THE ARTICLE BEING SUBMITTED. ALL CASES ARE CAPTURED AS THE FOLLOWING COMPLAINTS IN EXACTECH¿S GLOBAL COMPLAINT HANDLING SYSTEM: CASE (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129880 EXACTECH NOVATION GXL LINER JDI EXACTECH, INC.

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention