inforMED
InjuryMAY

E-POLY 36MM +3 HIWALL LNR SZ23

Received Feb 28, 2022 · Event occurred Nov 23, 2021

Report 0001825034-2022-00408 · MDR key 13618195

Device

Generic name

Prosthesis, Hip

Model number

N/A

Catalog number

EP-108323

Lot number

397790

Product problems

  • Fracture
  • Unstable
  • Device Dislodged or Dislocated
  • Fracture
  • Unstable
  • Device Dislodged or Dislocated

Patient

Male

  • Failure of Implant
  • Joint Dislocation
  • Failure of Implant
  • Joint Dislocation

Narrative

Additional Manufacturer Narrative

(B)(4). THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS, AS THE DEVICE WAS REQUESTED BUT NOT RETURNED HOSPITAL; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2022-00409.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT UNDERWENT A REVISION PROCEDURE APPROXIMATELY 4 YEARS POST IMPLANTATION DUE TO FRACTURE OF THE POLY LINER AFTER A DISLOCATION EVENT CAUSING THE HIP TO BECOME UNSTABLE. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Additional Manufacturer Narrative

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. 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.

Description of Event or Problem

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.