TM HIP IMPLANT GENERIC UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 03,05 report with the FDA on 2015-04-24 for TM HIP IMPLANT GENERIC UNK manufactured by Zimmer Tmt.

Event Text Entries

[5822282] It was observed in a journal article titled "short-term survival of the trabecular metal cup is similar to that of standard cups used in acetabular revision surgery. Analysis of 2,460 first-time cup revisions in the swedish hip arthroplasty register" (attached), that of the 828 patients implanted with an unknown tm hip implant (potentially tm revision shell, tm monoblock cup or tm modular cup) twenty-five (25) patients were revised due to dislocation. No further information was provided. Per the fda guidance draft, these patients events will be grouped into 1 mdr report based on product and similar failure type identified in the journal article.
Patient Sequence No: 1, Text Type: D, B5


[13327290] Investigation is in progress.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3005751028-2015-00046
MDR Report Key4736649
Report Source03,05
Date Received2015-04-24
Date of Report2015-04-24
Date Mfgr Received2015-03-09
Date Added to Maude2015-04-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactANAND SINGH
Manufacturer Street10 POMEROY RD.
Manufacturer CityPARSIPPANY NJ 07054
Manufacturer CountryUS
Manufacturer Postal07054
Manufacturer Phone9735760032
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTM HIP IMPLANT GENERIC
Generic NameTM HIP IMPLANT GENERIC
Product CodeKWB
Date Received2015-04-24
Catalog NumberUNK
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER TMT
Manufacturer Address10 POMEROY RD. PARSIPPANY NJ 07054 US 07054


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-04-24

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