inforMED
InjuryJDD

EXCEED ABT E1 FLNG CUP 28X48MM

Received Mar 12, 2019 · Event occurred Feb 9, 2017

Report 3002806535-2019-00262 · MDR key 8412002

Device

Generic name

Hip Prosthesis

Manufacturer

Biomet Uk Ltd.

Model number

N/A

Catalog number

EP-102848

Lot number

3837700

Product problems

  • Device Dislodged or Dislocated
  • Device Dislodged or Dislocated

Patient

61 YR

  • Joint Dislocation
  • Joint Dislocation

Narrative

Additional Manufacturer Narrative

(B)(4). UNIQUE IDENTIFIER (UDI) NUMBER: (B)(4). REPORT SOURCE, FOREIGN - EVENT OCCURRED IN THE (B)(6). 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. 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.

Description of Event or Problem

HIP REVISION DUE TO DISLOCATION AND SUBLUXATION.