inforMED
MalfunctionLYS

AML EXCEL

Received Jun 1, 2026 · Event occurred Mar 23, 2026

Report 1818910-2026-09483 · MDR key 25349006

Device

Generic name

Hip Instruments : Cutting Instruments

Catalog number

200148000

Lot number

AY1097J

Product problems

  • Failure to Cut

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803 (AND/OR PART 4, AS APPLICABLE). THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. ADDITIONAL NARRATIVE: D4: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT SURGEON SAID THAT THE CALCAR PLANAR WAS DULL AND DID NOT CUT BONE. THEY ASKED IT TO BE REMOVED FROM THE HOSPITAL AND REPLACED. THERE WAS NO NEGATIVE OUTCOMES AND NO ISSUES TO PATIENT. THERE WAS NO ISSUES TO SURGEON AND NO DELAY OF SURGERY.