E-POLY 36MM +3 HIWALL LNR SZ23
Received Jun 21, 2018
Report 0001825034-2018-04180 · MDR key 7624686
Device
Generic name
Hip Prosthesis
Manufacturer
Zimmer Biomet, Inc.Model number
N/ACatalog number
EP-108323
Lot number
211480
Product problems
- Insufficient Device Problem Information
- Insufficient Device Problem Information
Patient
Not reported
- Pain
- Pain
Narrative
Additional Manufacturer Narrative
(B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE DEVICE REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. EVENT DATE-ONSET OF PAIN OCCURRED ON AN UNKNOWN DAY IN 2001 CONCOMITANT MEDICAL PRODUCTS: ITEM # UNK, HIP-UNKNOWN-STEMS-UNK, LOT # UNK, ITEM # 650-1057, FEMORAL HEAD, LOT # 316860, ITEM # 650-1062, TAPER ADAPTER, LOT # 525920, ITEM # 11-105150, CUP, LOT # 138250. MULTIPLE REPORTS HAVE BEEN SUBMITTED FOR THIS EVENT. PLEASE SEE ASSOCIATED REPORTS: 0001825034-2018-04177, 0001825034-2018-04178, 0001825034-2018-04179, 0001825034-2014-00478, 0001825034-2018-04180.
Description of Event or Problem
IT WAS REPORTED THAT A PATIENT IS CURRENTLY EXPERIENCING ONGOING PAIN APPROXIMATELY 6 YEARS POST IMPLANTATION. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Additional Manufacturer Narrative
REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD (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. A SUMMARY OF THE INVESTIGATION HAS BEEN SENT TO THE COMPLAINANT. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.