inforMED
OtherHSH

FOUNDATION KNEE

Received Jun 21, 2012 · Event occurred Jun 5, 2012

Report 1644408-2012-00314 · MDR key 2640564

Device

Generic name

Tibial Insert

Catalog number

350-15-208

Lot number

539211

Product problems

  • Noise, Audible

Patient

65 YR

  • Pain

Narrative

Description of Event or Problem

REVISION SURGERY - THE PT HAD SOME PAIN AND HEARD A "CLICKING".

Additional Manufacturer Narrative

THE REASON FOR THIS REVISION SURGERY WAS TO REMEDY PAIN AND CLICKING AFTER 10.1 YEARS OF PATIENT USE. THERE IS NO INFORMATION IN THIS COMPLAINT ABOUT ANY PATIENT INJURIES, ACTIVITIES, ACCIDENTS, OR MEDICAL CONTRAINDICATIONS THAT MAY HAVE CONTRIBUTED TO THE REVISION SURGERY. THERE WAS NO DELAY IN SURGERY AND ANOTHER SUITABLE DEVICE WAS AVAILABLE FOR USE. THE REVISION SURGERY WAS COMPLETED AS INTENDED. THE DEVICE WAS NOT RETURNED TO DJO SURGICAL FOR EXAMINATION. A REVIEW OF THE DEVICE HISTORY RECORD SHOWED NO NON-CONFORMING MATERIAL REPORTS ASSOCIATED WITH THIS PRODUCT. (B)(4). THE ROOT CAUSE FOR THE PAIN AND CLICKING WAS NOT DETERMINED WITH CONFIDENCE. THERE IS NO INFORMATION REPORTED THAT SHOWED A MATERIAL, DESIGN, OR MANUFACTURING PROBLEM WITH THE PRODUCT.