inforMED
InjuryHSH

UNKNOWN DEPUY SZ 4 10MM CVD TIB INSERT

Received Sep 19, 2012 · Event occurred Sep 17, 2012

Report 1818910-2012-20969 · MDR key 2750427

Device

Generic name

Tibial Knee Insert

Manufacturer

Depuy Warsaw

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Insufficient Device Problem Information

Patient

61 YR

  • Unspecified Infection
  • Pain
  • Joint Swelling

Narrative

Description of Event or Problem

PATIENT WAS REVISED TO ADDRESS PAIN, SWELLING, SUSPECTED INFECTION.

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 (B)(4) 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 ANY ADDITIONAL INFORMATION BE RECEIVED TO CHANGE THE OUTCOME OF THE PERFORMED INVESTIGATION, THE COMPLAINT WILL BE RE-OPENED.