inforMED
InjuryHSH

UNKNOWN DEPUY TIBIAL TRAY

Received May 30, 2012

Report 1818910-2012-08623 · MDR key 2592401

Device

Generic name

Tibial Tray

Manufacturer

Depuy Warsaw

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Loss of or Failure to Bond

Patient

70 YR

  • No Information

Narrative

Description of Event or Problem

CLINICAL REPORT STATES THAT THE PATIENT WAS REVISED BECAUSE OF TIBIAL AND FEMORAL LOOSENING.

Additional Manufacturer Narrative

THE PRODUCT ASSOCIATED WITH THIS REPORTED EVENT WAS NOT RETURNED FOR EXAMINATION. PRODUCT INFORMATION REQUIRED IN RETRIEVING THE DEVICE HISTORY RECORDS FOR REVIEWING AND SEARCHING THE COMPLAINT DATABASE BY LOT CODE WAS NOT PROVIDED. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS ABOUT THE REPORTED EVENT BASED ON THE LACK OF THE PRODUCT TO EXAMINE AND INSUFFICIENT PRODUCT INFORMATION. BASED ON THE PERFORMED INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD THE PRODUCT AND/OR ADDITIONAL INFORMATION BE RECEIVED, THE INVESTIGATION WILL BE RE-OPENED.