UNKNOWN E-POLY HI WALL RINGLOC ACETABULAR LINER
Received Feb 10, 2017 · Event occurred Jun 9, 2016
Report 0001825034-2017-00430 · MDR key 6323893
Device
Generic name
Hip Prosthesis
Manufacturer
Biomet OrthopedicsModel number
N/ACatalog number
EP-108524
Lot number
546620
Product problems
- Insufficient Device Problem Information
- Insufficient Device Problem Information
Patient
89 YR
- No Information
- No Information
Narrative
Additional Manufacturer Narrative
CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. THIS REPORT IS BASED ON ALLEGATIONS SET FORTH IN PLAINTIFF¿S COMPLAINT, AND THE ALLEGATIONS CONTAINED THEREIN ARE UNVERIFIED.
Description of Event or Problem
LEGAL COUNSEL FOR PATIENT REPORTED PATIENT¿S RIGHT HIP WAS REVISED APPROXIMATELY SIX YEARS POST IMPLANTATION DUE TO UNKNOWN REASONS. DURING THE PROCEDURE, THE ACETABULAR CUP AND LINER WERE REMOVED AND REPLACED. THIS REPORT IS BASED ON ALLEGATIONS SET FORTH IN PLAINTIFF¿S COMPLAINT AND THE ALLEGATIONS CONTAINED THEREIN ARE UNVERIFIED.
Additional Manufacturer Narrative
(B)(4). CONCOMITANT PRODUCTS: SELEX/MAGNUM FEMORAL HEAD CATALOG#: S031140 LOT#: 744980, ECHO BI-METRIC FEMORAL STEM CATALOG#: 192012 LOT#: 190370, MALLORY HEAD ACETABULAR CUP CATALOG#: 13-104154 LOT#:101710, LOW PROFILE SCREW CATALOG#: 103532 LOT#'S: 618940 & 618810. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DHR WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED, AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTRIBUTE TO MONITOR FOR TRENDS.
Additional Manufacturer Narrative
THIS FOLLOW-UP REPORT IS BEING FILED TO RELAY ADDITIONAL INFORMATION, WHICH WAS UNKNOWN AT THE TIME OF THE INITIAL MEDWATCH.