inforMED
InjuryNDJ

PINN CAN BONE SCREW 6.5MMX25MM

Received Sep 3, 2020 · Event occurred Aug 19, 2020

Report 1818910-2020-19363 · MDR key 10488011

Device

Generic name

Bone Screws And Pins : Screws

Model number

1217-25-500

Catalog number

121725500

Lot number

D19043303

Product problems

  • Loss of Osseointegration
  • Loss of Osseointegration

Patient

80 YR

  • Pain
  • Inadequate Osseointegration
  • No Code Available
  • Pain
  • Inadequate Osseointegration
  • No Code Available

Narrative

Additional Manufacturer Narrative

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE INFORMATION RECEIVED WILL BE RETAINED FOR POTENTIAL SERIES INVESTIGATIONS IF TRIGGERED BY TREND ANALYSIS, POST MARKET SURVEILLANCE, OR OTHER EVENTS WITHIN THE QUALITY SYSTEM. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED, AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY.

Additional Manufacturer Narrative

(B)(4). 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

IT WAS REPORTED THAT THE PATIENT COMPLAIN OF HIP PAIN, ACETABULAR CUP WAS LOOSE, REVISED CUP. DOI: (B)(6) 2019, DOR: (B)(6) 2020, UNKNOWN AFFECTED SIDE.