inforMED
MalfunctionLRY

SIG HP FBT CEM KL PNCH SZ4-5

Received Mar 24, 2022 · Event occurred Mar 8, 2022

Report 1818910-2022-05358 · MDR key 13890952

Device

Generic name

Knee Instrument : Tibial Keel Punch/bullet

Model number

9505-02-048

Catalog number

950502048

Lot number

J0208

Product problems

  • Device-Device Incompatibility
  • Device-Device Incompatibility

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

(B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem

IT WAS REPORTED THAT THE IMPACTOR CRACKED WHILE IMPACTING THE TIBIA. NO PIECES FELL OFF AND NO DELAY. THE KEEL PUNCH WOULD CONNECT PROPERLY TO THE IMPACTION HANDLE.

Additional Manufacturer Narrative

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY : NO DEVICE WAS RECEIVED FOR EXAMINATION, THEREFORE THE REPORTED EVENT COULD NOT BE CONFIRMED. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY. DEVICE HISTORY LOT : THE PRODUCT INVESTIGATION FOUND NO EVIDENCE SUSPECTING AN ERROR IN THE MANUFACTURING OR MATERIAL THAT WOULD BE A CONTRIBUTING FACTOR IN THE REPORTED ALLEGATION(S). A MANUFACTURING RECORDS EVALUATION (MRE) WAS NOT PERFORMED.