inforMED
InjuryKRR

IBAL PATLOFEM IMPL,SZ 3,RT

Received Oct 29, 2024 · Event occurred Oct 11, 2024

Report 1220246-2024-08293 · MDR key 20556665

Device

Generic name

Knee Prosthesis Pat/fem/tib

Manufacturer

Arthrex, Inc.

Catalog number

AR-502-3R

Lot number

UNK

Product problems

  • Break
  • Break

Patient

NA · Unknown

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A PATELLOFEMORAL IMPLANT AR-502-3R WAS IMPLANTED INTO THE PATIENT 5 YEARS AGO. THE IMPLANT NOW BROKE OFF POST-OP AND HAD TO BE REVISED. THE REVISION SURGERY WAS PERFORMED ON FRIDAY (B)(6) 2024. NO FURTHER INFORMATION WAS PROVIDED. UPDATE AVOE 17-OCT-2024. IT WAS CONFIRMED THAT DURING THE REVISION SURGERY THE BROKEN DEVICE WAS REMOVED WITH GREAT EFFORT AND A NEW IMPLANT WAS INSERTED.

Additional Manufacturer Narrative

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Additional Manufacturer Narrative

COMPLAINT ALLEGATION IS CONFIRMED. BASED ON THE INFORMATION PROVIDED WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. PER DFU-0183-3. E WARNINGS 10. DETAILED INSTRUCTIONS ON THE USE AND LIMITATIONS OF THIS DEVICE, THE PATIENT LEAFLET AND THE PATIENT IMPLANT CARD SHOULD BE GIVEN TO THE PATIENT. PATIENT CONDITIONS CAN AFFECT RESULTS AND OUTCOMES. PERFORMING ACTIVITIES THAT INCREASE STRESSES ON IMPLANTS SUCH AS RUNNING, LIFTING, SKIING, ETC. CAN RESULT IN EARLY FAILURE OF THESE IMPLANTS. POSTOPERATIVELY AND UNTIL HEALING IS COMPLETE, THE FIXATION PROVIDED BY THIS DEVICE SHOULD BE PROTECTED. THE POSTOPERATIVE REGIMEN PRESCRIBED BY THE PHYSICIAN SHOULD BE STRICTLY FOLLOWED TO AVOID ADVERSE STRESSES APPLIED TO THE DEVICE. THIS PRODUCT¿S USEFUL LIFE WILL VARY BETWEEN PATIENTS AND IS DEPENDENT UPON ACCUMULATED WEIGHT-BEARING ACTIVITIES AND LIFESTYLE.16. PHYSICIANS SHOULD CAREFULLY ASSESS THE ACTIVITY LEVEL OF THE PATIENT PRIOR TO PERFORMING ARTHROPLASTY OF THE KNEE. INCREASED ACTIVITY AS WELL AS INCREASED WEIGHT CAN LEAD TO ACCELERATED WEAR OF UHMWPE COMPONENTS. ACCORDING TO THE X-RAYS SENT BY THE CUSTOMER, IT CAN BE SEEN THAT ONE OF THE ENDS OF THE IBALANCE¿ PFJ, PATELLOFEMORAL IMPLANT, CEMENTED SIZE 3, RIGHT WAS BROKEN. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO A PATIENT-SPECIFIC EVENT.

Description of Event or Problem

UPDATE AVOE ON 05-NOV-2024: IT WAS FURTHER REPORTED THAT IN ADDITION TO THE REPORTED DEVICE ALSO A PATELLA IMPLANT WAS USED, WHICH DID NOT NEED TO BE REPLACED, AS IT WASN`T DAMAGED BESIDE SLIGHT SIGNS OF USE. ACCORDING TO THE SURGEON, THERE WAS NO TRAUMA THAT CAUSED THE DEVICE BREAKAGE. HOWEVER, THE TUBEROSITY WAS OSTEOTOMIZED. THE OSTEOTOMY IS A POSSIBLE CAUSE FOR THE DEVICE BREAKAGE.