inforMED
InjuryHTG

UNKNOWN DEPUY LCS PATELLA POLY

Received Dec 16, 2011 · Event occurred Nov 18, 2011

Report 1818910-2011-26557 · MDR key 2378628

Device

Generic name

Patella Prosthesis

Manufacturer

Depuy Warsaw

Catalog number

ASKU

Lot number

ASKU

Product problems

  • Break

Patient

82 YR

  • No Information

Narrative

Description of Event or Problem

PATIENT WAS REVISED TO ADDRESS A PATELLA POLY THAT HAD FRACTURED OR SHEARED AWAY FROM THE METAL DUE TO EITHER A FALL OR ROLLING UP ON HER KNEE.

Additional Manufacturer Narrative

THE PRODUCT ASSOCIATED WITH THIS REPORTED EVENT WAS NOT RETURNED FOR EXAMINATION. THE PRODUCT CODE AND LOT CODE REQUIRED IN RETRIEVING THE DEVICE HISTORY RECORDS FOR REVIEWING AND SEARCHING THE COMPLAINT DATABASE WERE NOT PROVIDED. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS ABOUT THE REPORTED DEVICE FRACTURE; HOWEVER, THE INITIAL REPORTING STATED PATIENT TRAUMA WAS A POSSIBLE CONTRIBUTING FACTOR. ADDITIONAL PROVIDED INFORMATION STATED THE PRODUCT WAS NOT SUSPECTED OF FAILING TO MEET SPECIFICATIONS OR BEING A CONTRIBUTING FACTOR TO THE EVENT. BASED ON THE PERFORMED INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD THE PRODUCT AND/OR ADDITIONAL INFORMATION BE RECEIVED, THE INVESTIGATION WILL BE RE-OPENED.

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