inforMED
InjuryLTO

CEMENTRALIZER 11.0

Received Sep 8, 2011 · Event occurred Aug 15, 2011

Report 1818910-2011-17556 · MDR key 2237955

Device

Generic name

Femoral Stem Accessory

Manufacturer

Depuy Warsaw

Catalog number

137620000

Lot number

C5PLL1000

Product problems

  • Insufficient Device Problem Information

Patient

83 YR

  • Unspecified Infection

Narrative

Additional Manufacturer Narrative

THE DEVICES ASSOCIATED WITH THIS REPORT WERE NOT RETURNED. REVIEW OF THE STERILIZATION CERTIFICATIONS FOR THE PROVIDED PRODUCT/LOT COMBINATIONS DID NOT REVEAL ANY RELATED DEVIATIONS OR ANOMALIES. PER THE STERILIZATION CERTIFICATES, VALIDATED PARAMETERS WERE MET. NO ERROR IN STERILE PROCESSING WAS IDENTIFIED. BASED ON THE INVESTIGATION, THE NEED FOR CORRECTIVE ACTION WAS NOT INDICATED.DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD THE PRODUCT OR ADDITIONAL INFORMATION BE RECEIVED TO CHANGE THE OUTCOME OF THE PERFORMED INVESTIGATION, THE COMPLAINT WILL BE RE-OPENED.

Description of Event or Problem

PATIENT WAS REVISED TO ADDRESS INFECTION. LOOSENING OF THE STEM WAS ALSO REPORTED AT THE CEMENT/IMPLANT INTERFACE. THE MANUFACTURER OF THE CEMENT USED IN THE PRIMARY SURGERY IS UNKNOWN.

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.

Remedial action

  • Other