ZIMMER NATURAL HIP SYSTEM 7352-75-000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-01-26 for ZIMMER NATURAL HIP SYSTEM 7352-75-000 manufactured by Zimmer.

Event Text Entries

[18415436] The first hip implant (b)(6) 2006, began to loosen after a few months, because the product used to hold the implant in place began to fall apart. Another surgery attempt was made on (b)(6) 2008, to replace the implant. At that point, there was such a bad infection, that they had to close the incision and began a pic-line to let it heal. Finally, on (b)(6) 2008, a second implant was completed. The incision continued to drain, and would not heal. On (b)(6) 2008, a fourth and final surgery was done to flush and place a drain. There was a delay in making any kind of report or inquiry of this due to the on going illness surgeries hospital stays and stress. And i had no one else to take care or any problems for me. My husband had just passed away a few weeks prior to my falling.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5019295
MDR Report Key1981313
Date Received2011-01-26
Date of Report2011-01-21
Date of Event2006-03-19
Date Added to Maude2011-02-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameZIMMER NATURAL HIP SYSTEM
Generic NameHIP IMPLANT
Product CodeJDI
Date Received2011-01-26
Model NumberNA
Catalog Number7352-75-000
Lot Number1659371
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerZIMMER

Device Sequence Number: 2

Brand NameCENTERPULSE ORTHOPEDICS INC.
Generic NameHIP IMPLANT
Product CodeJDI
Date Received2011-01-26
Model NumberNA
Catalog Number7210-26-000
Lot Number1643737
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No2
Device Event Key0
ManufacturerCENTERPULSE ORTHOPEDICS INC.

Device Sequence Number: 3

Brand NameSULZER ORTHOPEDICS
Generic NameHIP IMPLANT
Product CodeJDI
Date Received2011-01-26
Model NumberNA
Catalog Number4404-26-042
Lot Number1530368
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No3
Device Event Key0
ManufacturerSULZER ORTHOPEDICS

Device Sequence Number: 4

Brand NameMICROTEK
Generic NameCEMENT RESTRICTOR
Product CodeJDK
Date Received2011-01-26
Model NumberNA
Catalog Number0180-125
Lot NumberC6160
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No4
Device Event Key0
ManufacturerMICROTEK

Device Sequence Number: 5

Brand NameSURGICAL SIMPLEX
Generic NameRADIO PAQUE BONE CEMENT
Product CodeLOD
Date Received2011-01-26
Model NumberNA
Catalog Number8191-1-001
Lot NumberRDN109
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No5
Device Event Key0
ManufacturerSTRYKER
Manufacturer AddressMAHWAH NJ US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Deathisabilit 2011-01-26

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