inforMED
InjuryHSH

UNKNOWN DEPUY LCS STD 3-PEG PATELLA

Received Jun 18, 2012 · Event occurred Jun 13, 2012

Report 1818910-2012-14496 · MDR key 2618909

Device

Generic name

Patella Prosthesis

Manufacturer

Depuy Warsaw

Catalog number

UNK

Lot number

UNKNOWN

Product problems

  • Naturally Worn

Patient

52 YR

  • No Information

Narrative

Description of Event or Problem

DURING A REVISION TO ADDRESS DISASSOCIATION OF THE POLY PORTION OF THE PATELLA FROM THE METAL BACK DUE TO TRAUMA TO THE KNEE, POLY WEAR WAS ALSO FOUND.

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 DEVICE ASSOCIATED WITH THIS REPORT WAS NOT RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS AND/OR A COMPLAINT DATABASE SEARCH WAS NOT POSSIBLE AS THE PRODUCT AND LOT CODE REQUIRED WAS NOT PROVIDED. REQUESTS FOR ADDITIONAL INVESTIGATIONAL INPUTS WERE MADE IN ACCORDANCE WITH WI-7915 APPENDIX A; REV. C. NO ADDITIONAL INFORMATION WAS OBTAINED. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS REGARDING THE REPORTED EVENT WITH THE INFORMATION AVAILABLE. BASED ON THE INABILITY TO IDENTIFY A ROOT CAUSE, THE NEED FOR CORRECTIVE ACTION WAS 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.