inforMED
OtherHSH

3D KNEE

Received Aug 16, 2011 · Event occurred Aug 3, 2011

Report 1644408-2011-00457 · MDR key 2222603

Device

Generic name

3dknee Tibial Insert - Dcm

Catalog number

10/31/2011

Lot number

53813306

Product problems

  • Unstable

Patient

72 YR

  • Arthralgia

Narrative

Additional Manufacturer Narrative

THE REASON FOR THE REVISION SURGERY WAS TO REMEDY PAIN 3 YEARS AFTER PRIOR SURGERY. THE REVISION SURGERY WAS COMPLETED SUCCESSFULLY. THERE IS NO INFORMATION REPORTED ABOUT ANY PATIENT INJURIES, ACTIVITIES, ACCIDENTS, OR MEDICAL CONTRAINDICATIONS THAT MAY HAVE CONTRIBUTED TO THE REVISION SURGERY. THE ROOT CAUSE FOR PAIN WAS DETERMINED TO BE INSTABILITY. THE DEVICE WAS NOT RETURNED TO DJO SURGICAL FOR EXAMINATION. A REVIEW OF THE DEVICE HISTORY RECORD SHOWED NO NON-CONFORMING MATERIAL REPORTS ASSOCIATED WITH THIS PRODUCT. THIS IS THE 18TH COMPLAINT FOR THIS PART NUMBER. AS ORIGINALLY REPORTED, THE SURGEON THOUGHT AN X-RAY SHOWED POSITIONING PROBLEM WITH THE INSERT BUT DEEMED THIS TO BE CORRECT AND CONCLUDED THAT INSTABILITY CAUSED PAIN. THE ROOT CAUSE FOR INSTABILITY WAS NOT DETERMINED WITH CONFIDENCE.

Description of Event or Problem

REVISION SURGERY - DUE TO ANTERIOR KNEE PAIN, IT WAS THOUGHT A CT SCAN INDICATED AN INTERNALLY ROTATED TIBIAL TRAY, BUT FOUND THE TRAY TO BE POSITIONED PROPERLY. INTRA OP, THE SURGEON DECIDED THE KNEE WAS UNSTABLE AND REMOVED AND POLY INSERT. THE SURGEON IMPLANTED A MORE CONSTRAINED POLE INSERT, THE ORIGINAL INSERT DID NOT FAIL.