inforMED
InjuryOQH

X-ALT HIP

Received Oct 16, 2019 · Event occurred Sep 18, 2019

Report 1644408-2019-01004 · MDR key 9197682

Device

Generic name

Liner 10 Deg Hooded-neu, Mp9, Hxe-plus, 40mm

Model number

932-40-756

Catalog number

932-40-756

Lot number

815N2010

Product problems

  • Loose or Intermittent Connection

Patient

61 YR

  • Failure of Implant
  • Failure of Implant

Narrative

Additional Manufacturer Narrative

THE REASON FOR THIS REVISION SURGERY WAS REPORTED AS LOOSENING. THE PREVIOUS SURGERY AND THE SURGERY DETAILED IN THIS EVENT OCCURRED 1 DAY APART. INITIAL OR PROLONGED HOSPITALIZATION IS REQUIRED. THE HEALTHCARE PROFESSIONAL INDICATED THERE WAS NO DELAY IN SURGERY AND ANOTHER SUITABLE DEVICE WAS AVAILABLE FOR USE. THE REVISION SURGERY WAS COMPLETED AS INTENDED. THE DEVICES WERE DISPOSED OF AT THE HOSPITAL AND NOT MADE AVAILABLE TO DJO SURGICAL FOR EXAMINATION. A REVIEW OF THE DEVICE HISTORY RECORDS (DHR) SHOW THAT THE REPORTED COMPONENTS USED IN THE PREVIOUS SURGERY, WHEN RELEASED FOR USE, MET DESIGN AND MANUFACTURING REQUIREMENTS. THERE WERE NO NON-CONFORMING MATERIAL REPORTS (NCMR) ASSOCIATED WITH THE PRODUCTS THAT MAY HAVE CONTRIBUTED TO THE REPORTED EVENT. THE DEVICES WERE VERIFIED TO HAVE GONE THROUGH AN ACCEPTABLE STERILIZATION PROCESS AND WERE WITHIN ITS EXPIRATION DATE AT THE TIME OF THE PREVIOUS SURGERY. CUSTOMER COMPLAINT HISTORY OF THE REPORTED DEVICES SHOWED NO PRESENT TRENDS OR ON-GOING ISSUES THAT ARE NEEDING A REVIEW. THE ROOT CAUSE OF THIS COMPLAINT WAS A REVISION SURGERY LOOSENING. THERE WERE NO FINDINGS DURING THIS EVALUATION THAT INDICATE THE REPORTED DEVICES WERE DEFECTIVE. NO INFORMATION WAS SUBMITTED WITH THE COMPLAINT REGARDING PRE-EXISTING CONDITIONS OF THE PATIENT OR ANY ACTIVITIES THE PATIENT WAS INVOLVED IN THAT MAY HAVE CONTRIBUTED TO THE EVENT. DUE TO SHORT TIME BETWEEN THE PREVIOUS AND REVISION SURGERY IT SEEMS THAT THE EVENT MAY BE OCCURRED DUE TO IMPROPER SURGICAL TECHNIQUES, PATIENT NONCOMPLIANCE WITH MEDICAL INSTRUCTION OR LACK OF POST-OPERATIVE CARE. THERE ARE NO INDICATIONS OF A PRODUCT OR PROCESS ISSUE AFFECTING IMPLANT SAFETY OR EFFECTIVENESS.

Description of Event or Problem

REVISION SURGERY - DUE TO LOOSE LINER.