inforMED
InjuryLWJ

PROFEMUR® MODULAR FEMORAL NECK

Received Jun 21, 2024

Report 3010536692-2024-00366 · MDR key 19586558

Device

Generic name

Hip Component

Model number

PHA01214

Catalog number

PHA01214

Lot number

UNKNOWN

Product problems

  • Use of Device Problem
  • Use of Device Problem

Patient

57 YR · Male

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

ALLEGEDLY, PATIENT WAS REVISED DUE TO HEAD/SOCKET MISMATCH - SOCKET. SRNJR NUMBER: (B)(6). SIDE: L GENDER: M NON MPO DEVICES: 121712064 PINN SECTOR HA ACET CUP 64MM, 121936164 PINNACLE MARATHON PE LINER +4 10 DEGREE 64X36MM AND 121730500 PINNACLE 6.5 CANCELLOUS SCREW 30MM (DEPUY).

Additional Manufacturer Narrative

THIS EVENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.

Additional Manufacturer Narrative

DUE TO ADDITIONAL INFORMATION RECEIVED, IT HAS BEEN INDICATED THE COMPLAINT DOES NOT ALLEGE DEFICIENCY IN THE PRODUCT. PLEASE VOID THIS REPORT.