inforMED
MalfunctionLWJ

TRINITY

Received Apr 23, 2025 · Event occurred Apr 7, 2025

Report 9614209-2025-00485 · MDR key 21890860

Device

Generic name

Acetabular Hip System (std Introducer / Impactor Handle)

Manufacturer

Corin Ltd.

Model number

921.129

Catalog number

N/A

Lot number

286693-03

Product problems

  • Mechanical Jam
  • Insufficient Device Problem Information
  • Mechanical Jam
  • Insufficient Device Problem Information

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

DURING TOTAL HIP PROCEDURE. AS THE SURGEON WAS IMPLANTING CUP THE SCREW IN THE CUP IMPACTOR POPPED OFF. NOT ALLOWING THE SURGEON TO REMOVE THE CUP. DELAYING CASE SINCE CUP WAS STUCK ON HANDLE.

Additional Manufacturer Narrative

(B)(4) INITIAL REPORT. THE REPORTER HAS CONFIRMED THE DEVICE IS AVAILABLE FOR RETURN. THE APPROPRIATE DEVICE DETAILS HAVE BEEN PROVIDED, AND THE RELEVANT DEVICE MANUFACTURING RECORDS WILL BE IDENTIFIED AND REVIEWED. THE SUBMISSION OF THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT THE DEVICE REPORTING ENTITIES REPRESENTATIVE OR DISTRIBUTER CAUSED OR CONTRIBUTED TO THIS EVENT.

Description of Event or Problem

DURING TOTAL HIP PROCEDURE. AS THE SURGEON WAS IMPLANTING CUP THE SCREW IN THE CUP IMPACTOR POPPED OFF . NOT ALLOWING THE SURGEON TO REMOVE THE CUP. DELAYING CASE SINCE CUP WAS STUCK ON HANDLE.

Additional Manufacturer Narrative

(B)(4) FINAL REPORT ADDITIONAL INFORMATION INCLUDING WHETHER THE SURGEON RE-REAMED AND IMPLANTED A LARGER THAN PLANNED SIZE CUP WAS REQUESTED IN ORDER TO PROGRESS WITH THE INVESTIGATION OF THIS EVENT, AND WERE PROVIDED. IT WAS CONFIRMED THAT THE SURGERY WAS DELAYED DUE TO THE DEVICES GETTING STUCK TOGETHER. . THE DEVICES WERE RETURNED, WHERE THE FAILURE WAS CONFIRMED: THESE DEVICES CANNOT BE SEPERATED. THE APPROPRIATE DEVICE DETAILS WERE PROVIDED AND THE RELEVANT DEVICE MANUFACTURING RECORDS HAVE BEEN IDENTIFIED AND REVIEWED. ALL PARTS ASSOCIATED WITH THESE RECORDS CONFORMED TO MATERIAL AND DIMENSIONAL SPECIFICATION AT THE TIME OF MANUFACTURE. THIS FAILURE HAS BEEN REPORTED TO CORIN PREVIOUSLY AND AS A RESULT OF FEEDBACK, A NEW HANDLE HAS BEEN RELEASED AND THUS THIS CASE IS CONSIDERED CLOSED. THE SUBMISSION OF THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT THE DEVICE REPORTING ENTITIES REPRESENTITIVE OR DISTRUBUTERCAUSED OR CONTRIBUTED TO THIS EVENT.