G7 NEUTRAL E1 LINER 32MM F N/A 010000850

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-10-08 for G7 NEUTRAL E1 LINER 32MM F N/A 010000850 manufactured by Biomet Orthopedics.

Event Text Entries

[27911264] Current information is insufficient to permit a conclusion as to the cause of the event. Date of birth - 1946, expiration date - unknown, manufacture date? Unknown. There are warnings in the package insert that state that this type of event can occur: under possible adverse effects, number 1 states,? Material sensitivity reactions.? Number 2 states, "early or late postoperative infection and/or allergic reaction. " this report is number 3 of 4 mdrs filed for the same event (reference 1825034-2015-04169 / 04171 & 04235).
Patient Sequence No: 1, Text Type: N, H10


[27911285] It was reported that patient underwent right total hip arthroplasty on (b)(6) 2015. Subsequently, patient was admitted to hospital on (b)(6) 2015 to be treated with medication due to an infection with moderate traces of staph. Aureus. No revision has yet been reported.
Patient Sequence No: 1, Text Type: D, B5


[30211608] This follow-up report is being filed to correct and relay additional information, which was unknown at the time of the initial medwatch.
Patient Sequence No: 1, Text Type: N, H10


[38254119] This follow-up report is being filed to relay additional information, which was unknown at the time of the initial medwatch. Remains implanted.
Patient Sequence No: 1, Text Type: N, H10


[43633796] Upon reassessment of the reported event, it was determined to be not reportable. The initial report was forwarded in error and should be voided.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0001825034-2015-04171
MDR Report Key5138146
Date Received2015-10-08
Date of Report2016-03-30
Date of Event2015-09-08
Date Mfgr Received2016-03-30
Device Manufacturer Date2014-12-08
Date Added to Maude2015-10-08
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 FDA3
Event Location3
Manufacturer ContactMS. MEGAN HAAS
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5743726700
Manufacturer G1BIOMET ORTHOPEDICS
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal Code46582
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameG7 NEUTRAL E1 LINER 32MM F
Generic NamePROSTHESIS, HIP
Product CodeLKD
Date Received2015-10-08
Model NumberN/A
Catalog Number010000850
Lot Number3471472
ID NumberN/A
Device Expiration Date2019-12-31
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMET ORTHOPEDICS
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-10-08

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