MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-10-28 for E1 RINGLOC ACETABULAR LINER N/A EP-105883 manufactured by Zimmer Biomet, Inc..
[164138058]
(b)(4). Age: (b)(6). Concomitant medical products: 14-103652 987570 univ 2-hole shl 52mm lnr sz 23, 51-106110 3383479 tprlc 133 mp type1 pps so 11. 0, 650-1158 3262651 delta cer fem hd 28/0mm t1. Report source: (b)(6). Customer has indicated that the product will not be returned to zimmer biomet for investigation, due to device remains implanted. The investigation is in process. Once the investigation has been completed, a follow-up mdr will be submitted. Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2019 - 04857, 0001825034 - 2019 - 04860.
Patient Sequence No: 1, Text Type: N, H10
[164138059]
It was noted the patient underwent a primary left total hip arthroplasty. Subsequently, the patient experienced an infection and underwent incision and drainage approximately two weeks post implantation. Attempts have been made and additional information on the reported event is unavailable.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0001825034-2019-04858 |
| MDR Report Key | 9248018 |
| Report Source | COMPANY REPRESENTATIVE,FOREIG |
| Date Received | 2019-10-28 |
| Date of Report | 2019-10-28 |
| Date of Event | 2015-11-13 |
| Date Mfgr Received | 2019-10-01 |
| Device Manufacturer Date | 2013-01-31 |
| Date Added to Maude | 2019-10-28 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. CHRISTINA ARNT |
| Manufacturer Street | 56 E. BELL DR. |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal | 46582 |
| Manufacturer Phone | 5745273773 |
| Manufacturer G1 | ZIMMER BIOMET, INC. |
| Manufacturer Street | 56 E. BELL DRIVE |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 46582 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | N/A |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | E1 RINGLOC ACETABULAR LINER |
| Generic Name | PROSTHESIS, HIP |
| Product Code | OIY |
| Date Received | 2019-10-28 |
| Model Number | N/A |
| Catalog Number | EP-105883 |
| Lot Number | 166560 |
| Device Expiration Date | 2018-01-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ZIMMER BIOMET, INC. |
| Manufacturer Address | 56 E. BELL DRIVE WARSAW IN 46582 US 46582 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2019-10-28 |