inforMED
InjuryJDD

EXCEED ABT E1 MULLER CUP 36X58

Received Mar 13, 2019 · Event occurred Dec 4, 2017

Report 3002806535-2019-00269 · MDR key 8415832

Device

Generic name

Hip Prosthesis

Manufacturer

Biomet Uk Ltd.

Model number

N/A

Catalog number

EP-123658

Lot number

2135460

Product problems

  • Malposition of Device
  • Device Dislodged or Dislocated
  • Malposition of Device
  • Device Dislodged or Dislocated

Patient

73 YR

  • Joint Dislocation
  • Joint Dislocation

Narrative

Additional Manufacturer Narrative

(B)(4). REPORT SOURCE, FOREIGN - EVENT OCCURRED IN THE (B)(6). CONCOMITANT MEDICAL PRODUCTS: MEDICAL PRODUCT: STANMORE COCR FMRL SZ2 STD, CATALOG #: 164242, LOT #: 3188790; MEDICAL PRODUCT: 36MM COCR MOD HD STD, CATALOG #: 11-363662, LOT #: 266170. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 3002806535-2019-00270, 0001825034 -2019 -01089. 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, MALALIGNED SOCKET AND MALALIGNED STEM.