inforMED
InjuryNDJ

PINN CAN BONE SCREW 6.5MMX20MM

Received Dec 16, 2019

Report 1818910-2019-123158 · MDR key 9474305

Device

Generic name

Bone Screws And Pins : Screws

Model number

1217-20-500

Catalog number

121720500

Lot number

A4JCL4000

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Pain
  • Weakness
  • Pain
  • Weakness

Narrative

Additional Manufacturer Narrative

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY ==> NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE INFORMATION RECEIVED WILL BE RETAINED FOR POTENTIAL SERIES INVESTIGATIONS IF TRIGGERED BY TREND ANALYSIS, POST MARKET SURVEILLANCE, OR OTHER EVENTS WITHIN THE QUALITY SYSTEM. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED, AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative

(B)(4). INITIAL REPORTER OCCUPATION: LAWYER. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem

PFS AND MEDICAL RECORDS RECEIVED. PFS ALLEGES PAIN AND WEAKNESS AFTER FIRST REVISION. AFTER REVIEW OF MEDICAL RECORDS, THERE IS NO REVISION REPORTED. DOI: (B)(6) 2015 (HEAD, LINER); DOI: (B)(6) 2007 (CUP, SCREW, STEM,SLEEVE); DOR: NONE REPORTED (LEFT HIP) . PLEASE SEE (B)(4) FOR THE LEFT HIP FIRST REVISION.