inforMED
InjuryHTG

UNKNOWN PATELLA

Received Sep 20, 2011 · Event occurred Aug 31, 2011

Report 2249697-2011-01373 · MDR key 2262031

Device

Generic name

Implant

Model number

NA

Catalog number

UNK

Lot number

UNK

Product problems

  • Device Dislodged or Dislocated

Patient

79 YR

  • Arthralgia

Narrative

Description of Event or Problem

IT WAS REPORTED: "REMOVAL OF DURACON TIBIAL INSERT FROM LEFT KNEE AND REPLACED WITH MED DURACON CS INSERT 22MM REFERENCED (B)(4), LOT TCK086. PATIENT WAS IN PAIN, PATELLA WAS NOT FIXED IN KNEE THEREFORE WAS REPLACED WITH TRIATHLON A32 X 10MM REFERENCE (B)(4), LOT WRXW. ORIGINAL FEMUR AND TIBIAL BASEPLATE LEFT INSITU. REFERENCE NUMBER FOR TIBIAL BASEPLATE (B)(4), LOT DPTTTC NO OTHER DETAILS AVAILABLE AS ORIGINAL SURGERY DONE 14 YEARS AGO AT (B)(6)."

Additional Manufacturer Narrative

WHEN COMPLETED, THE EVALUATED SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT. THIS IS THE SAME PATIENT/EVENT AS MFR # 2249697-2011-01374.

Remedial action

  • Other