UNKNOWN ACETABULAR INSERT UNK_SHC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2015-12-21 for UNKNOWN ACETABULAR INSERT UNK_SHC manufactured by Stryker Orthopaedics-mahwah.

Event Text Entries

[33970743] It was indicated that none of the original implants were explanted during the surgery. The hospital is not releasing any patient details/medical records, post-op notes, etc. The event could not be confirmed nor the root cause of the reported event determined due to the minimal information received.
Patient Sequence No: 1, Text Type: N, H10


[33970744] On (b)(6) 2015, the patient underwent a revision of a cementless left hip arthroplasty for severe wear of polyethylene acetabular, with widespread acetabular osteolysis and femoral and acetabular loosening dislocation of the implant. Intraoperatively, not being result can undertake re-implanting acetabular (for the serious lack of supporting osseous tissues, in particular in the acetabulum, but also to proximal femoral), so surgeon proceeded to explant acetabulum (with pins, screws and the insert of polyethylene) and to the resection of the proximal femoral stem, not espiantabile otherwise, without putting in serious jeopardy the integrity of the femur itself. The indications given about the implanted materials were obtained exclusively by the news reported by the patient because the clinical documentation related to the first surgery (2001? ) is not available. Therefore, the referring to "abg cotile" (stryker) and the "conus stem" (zimmer) from the surgeon are to be considered indicative only.
Patient Sequence No: 1, Text Type: D, B5


[38861878] An event regarding wear involving an unknown liner was reported. The event was confirmed. Method and results: device evaluation and results: the device was not returned for analysis. Medical records received and evaluation: a review of the provided information by a clinical consultant could confirm the event but could not determine a root cause. Device history review could not be performed as the device details were not provided. Complaint history review could not be performed as the device details were not provided. Conclusions: the exact cause of the event could not be determined because insufficient information was provided. Further information such as device details, device return, additional x-rays, operative reports and patient medical records would be helpful in investigating this event further. If additional information and/or device become available, this investigation will be reopened.
Patient Sequence No: 1, Text Type: N, H10


[38861879] On (b)(6) 2015, the patient underwent a revision of a cementless left hip arthroplasty for severe wear of polyethylene acetabular, with widespread acetabular osteolysis and femoral and acetabular loosening dislocation of the implant. Intraoperatively, not being result can undertake re-implanting acetabular (for the serious lack of supporting osseous tissues, in particular in the acetabulum, but also to proximal femoral), so surgeon proceeded to explant acetabulum (with pins, screws and the insert of polyethylene) and to the resection of the proximal femoral stem, not espiantabile otherwise, without putting in serious jeopardy the integrity of the femur itself. The indications given about the implanted materials were obtained exclusively by the news reported by the patient because the clinical documentation related to the first surgery (2001? ) is not available. Therefore, the referring to "abg cotile" (stryker) and the "conus stem" (zimmer) from the surgeon are to be considered indicative only.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0002249697-2015-04345
MDR Report Key5313540
Report SourceHEALTH PROFESSIONAL,OTHER
Date Received2015-12-21
Date of Report2015-11-30
Date of Event2001-01-01
Date Mfgr Received2016-01-27
Date Added to Maude2015-12-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. BEVERLY LIMA
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1STRYKER ORTHOPAEDICS-CORK
Manufacturer StreetIDA INDUSTRIAL ESTATE
Manufacturer CityCARRIGTWOHILL NA
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN ACETABULAR INSERT
Generic NameHIP IMPLANT
Product CodeKWB
Date Received2015-12-21
Catalog NumberUNK_SHC
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOPAEDICS-MAHWAH
Manufacturer Address325 CORPORATE DRIVE MAHWAH NJ 07430 US 07430


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2015-12-21

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