inforMED
InjuryKRS

7MM MODULAR TIBIA INSERT LEFT LEG

Received Jan 8, 1993 · Event occurred Nov 30, 1992

Report 33462-1992-01015 · MDR key 2221

Device

Manufacturer

Howmedica, Inc.

Catalog number

6628-4-307

Lot number

UNKNOWN

Patient

57 YR

Narrative

Description of Event or Problem

PATIENT WAS UNSTABLE AND UNABLE TO WORK. DR. INSERTED A 13MM TIBIA INSERT AND THE LEG APPEARED TO BE MORE STABLE. THE OLD INSERT APPEARED TO BE SCARRED FROM ARTICULATIONDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED. DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: VISUAL EXAMINATION. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.