inforMED
InjuryLWJ

PROFEMUR® MODULAR FEMORAL NECK

Received Jun 1, 2023 · Event occurred Apr 14, 2023

Report 3010536692-2023-00104 · MDR key 17043383

Device

Generic name

Hip Component

Model number

PHA01254

Catalog number

PHA01254

Lot number

039831013

Product problems

  • Break
  • Break

Patient

Unknown

  • Pain
  • Insufficient Information
  • Pain
  • Insufficient Information

Narrative

Description of Event or Problem

ALLEGEDLY, MODULAR NECK FRACTURE LEFT HIP. ADDITIONAL INFORMATION RECEIVED ON 2023-07-06: THE PATIENT SUDDENLY FELT PAIN IN THE AREA OF THE LEFT HIP WITHOUT TRAUMA SINCE THEN HE CAN NO LONGER PUT FULL WEIGHT ON THE LEFT HIP. NON-MPO COMPONENTS: PRODUCT ID: 0805M8N0158 IMPLANTEC GMBH OF GRENZGASSE 38A, 2340 MÖDLING/ LOT NUMBER: 90621-A/ QTY: (B)(4).

Description of Event or Problem

ALLEGEDLY, MODULAR NECK FRACTURE LEFT HIP. IT IS NOT MENTIONED ON INITIAL REPORT IF A REVISION SURGERY HAS ALREADY BEEN PERFORMED. A DEVICE WITH LOT NUMBER: 0805MSN0158 HAS BEEN INDICATED TO BE RELATED TO THIS EVENT HOWEVER THIS LOT NUMBER DOES NOT CORRESPOND TO AN ACTUAL MICROPORT ORTHOPEDICS PRODUCT.

Remedial action

  • Recall