inforMED
InjuryHTG

UNKNOWN PATELLA

Received Jun 23, 2011 · Event occurred Jun 3, 2011

Report 2249697-2011-00948 · MDR key 2150541

Device

Generic name

Implant

Model number

NA

Catalog number

UNK

Lot number

UNK

Product problems

  • Device Slipped

Patient

60 YR

  • Fall

Narrative

Description of Event or Problem

IT WAS REPORTED THAT, "PT'S PATELLA SEEMED LOOSE AFTER A FALL AT WORK. SURGEON DISCOVERED THE PATELLA WAS LOOSE AND PERFORMED A REVISION. HE ALSO EXCHANGED THE POLY."

Additional Manufacturer Narrative

AN EVAL OF THE PATELLA CANNOT BE PERFORMED AS THE PATELLA EXPLANT FRAGMENTED DURING EXPLANTATION AND WAS NOT RETURNED TO THE MFR. ADDITIONAL INFO (INCLUDING X-RAYS AND MEDICAL RECORDS) WAS REQUESTED. IF ADDITIONAL INFO BECOMES AVAILABLE, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Remedial action

  • Other