inforMED
InjuryHTG

UNKNOWN DEPUY 35MM 3 PEG ROUND DOME PATELLA

Received Aug 30, 2011

Report 1818910-2011-16818 · MDR key 2227974

Device

Generic name

Knee Patella

Manufacturer

Depuy Warsaw

Catalog number

ASKU

Lot number

ASKU

Product problems

  • Break
  • Naturally Worn

Patient

43 YR

  • No Information

Narrative

Additional Manufacturer Narrative

THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.

Additional Manufacturer Narrative

THE DEVICES AND X-RAYS ASSOCIATED WITH THIS REPORT WERE NOT RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS AND/OR A COMPLAINT DATABASE SEARCH WAS NOT POSSIBLE AS THE PRODUCT AND LOT CODES REQUIRED WERE UNAVAILABLE. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS REGARDING THE REPORTED EVENT WITH THE INFORMATION AVAILABLE. BASED ON THE INABILITY TO DETERMINE A ROOT CAUSE, THE NEED FOR CORRECTIVE ACTION WAS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ANY ADDITIONAL INFORMATION BE RECEIVED TO CHANGE THE OUTCOME OF THE PERFORMED INVESTIGATION, THE COMPLAINT WILL BE RE-OPENED.

Description of Event or Problem

THE PATIENT WAS REVISED BECAUSE OF PATELLA CLUNK, WEAR OF THE PATELLA, AND A PIECE WAS CHIPPED OUT OF THE PATELLA.