inforMED
InjuryHTG

UNKNOWN PATELLA A 29 9MM

Received Jun 10, 2011 · Event occurred May 19, 2011

Report 2249697-2011-00871 · MDR key 2132580

Device

Generic name

Implant

Model number

NA

Catalog number

UNK

Lot number

UNK

Product problems

  • Break
  • Detachment Of Device Component

Patient

70 YR

  • Failure of Implant

Narrative

Additional Manufacturer Narrative

AN EVALUATION OF THE REPORTED DEVICES CANNOT BE PERFORMED AS THE DEVICE WAS RETAINED BY THE PATIENT AND WAS NOT RETURNED TO THE MANUFACTURER. ADDITIONAL INFORMATION (INCLUDING X-RAYS AND MEDICAL RECORDS) WAS REQUESTED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

IT WAS REPORTED THAT, "FAILED PATELLA BUTTON. THE PATELLA PEGS SHEARED OFF."

Remedial action

  • Other