inforMED
MalfunctionLWJ

STELKAST HIP ARTHROPLASTY

Received Mar 5, 2024 · Event occurred Dec 19, 2022

Report 3004142400-2023-00051 · MDR key 18834167

Device

Generic name

Provident Hip Stem, Lateral, 10mm

Model number

SC2658-10.0

Lot number

42711

Product problems

  • Use of Device Problem
  • Use of Device Problem

Patient

NA · Unknown

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A REVISION WAS NEEDED TO REPLACE A STELKAST HIP IMPLANT THAT FAILED POST OPERATIVELY.

Additional Manufacturer Narrative

THIS REPORT IS BEING RESUBMITTED FOR AN INCIDENT THAT OCCURRED EARLIER. THE DEVICE COULD NOT BE PROVIDED FOR EVALUATION. THE IMAGING PROVIDED SHOWS THE FEMORAL HEAD CENTER OF ROTATION APPEARS TO SHIFT LATERALLY. NO DETERMINATIONS COULD BE MADE AS TO THE CAUSE OF THE REPORTED ISSUE.