BIOMET E1 POLY LINER N/A EP-108323

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional, report with the FDA on 2018-02-07 for BIOMET E1 POLY LINER N/A EP-108323 manufactured by Zimmer Biomet, Inc..

Event Text Entries

[99297268] (b)(4). Customer has indicated that the product will not be returned to zimmer biomet for evaluation, due to the implant remains implanted. The evaluation is in process. Once the evaluation has been completed, a follow-up mdr will be submitted. Maude report mw5073429. Product remains implanted. 16-104150 ringloc+ shell lot # 847500. Multiple mdr reports were filed for this event. Please see associated reports: 0001825034-2018-00376, 00377. Remains implanted.
Patient Sequence No: 1, Text Type: N, H10


[99297269] It was reported a patient is experiencing worsening pain, a limp, ambulation difficulties, muscle spasms, muscle damage, and numbness from hip down to toes for the past 2 years. Patient also alleges that the hip "tried to dislocate" on two occasions. Patient reports being prescribed percocet for pain.
Patient Sequence No: 1, Text Type: D, B5


[119060288] This follow-up report is being submitted to relay additional information. Multiple mdr reports were filed for this event, please see associated reports: 0001825034-2018-01649-1, 0001825034-2018-00377-2, 0001825034-2018-00376-2.
Patient Sequence No: 1, Text Type: N, H10


[119060289] It was reported that a patient started experiencing pain 4 years post implantation. The patient is experiencing worsening pain, a limp, ambulation difficulties, muscle spasms, muscle damage, and numbness from hip down to toes for the past 2 years. Patient also alleges that the hip "tried to dislocate" on two occasions. Patient reports being prescribed percocet for pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001825034-2018-00377
MDR Report Key7249206
Report SourceCONSUMER,HEALTH PROFESSIONAL,
Date Received2018-02-07
Date of Report2018-03-06
Date of Event2011-02-13
Date Mfgr Received2018-03-01
Device Manufacturer Date2010-02-01
Date Added to Maude2018-02-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 FDA3
Event Location3
Manufacturer ContactMS. CHRISTINA ARNT
Manufacturer Street56 E. BELL DR.
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1ZIMMER BIOMET, INC.
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal Code46582
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBIOMET E1 POLY LINER
Generic NameHIP PROSTHESIS
Product CodeMAY
Date Received2018-02-07
Model NumberN/A
Catalog NumberEP-108323
Lot Number301360
ID Number(01) 00880304469006
Device Expiration Date2015-02-28
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER BIOMET, INC.
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-02-07

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