inforMED
InjuryHSH

TRIATHLON CR X3 TIBIAL INSERT

Received Oct 24, 2012 · Event occurred Oct 8, 2012

Report 2249697-2012-02017 · MDR key 2821523

Device

Generic name

Implant

Model number

NA

Catalog number

5530-G-413

Lot number

9VLMKD

Product problems

  • Material Fragmentation
  • Unstable

Patient

53 YR

  • Pain

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DR (B)(6) SAID, THE PATIENT CAME IN REPORTING SOME PAIN AND INSTABILITY. HE THOUGHT A THICKER POLY WOULD HELP WITH THE INSTABILITY AND THE DEEPER DISH OF THE CS POLY SO HE REMOVED THE OLD CR 4X13X3 CR POLY AND REPLACED IT WITH A 4X19MM CS X3 POLY. AFTER REMOVING THE POLY, IT WAS DISCOVERED THAT THE POSTERIOR MEDIAL SIDE OF THE POLY HAD A PIECE THAT WAS CHIPPED OFF THE PIECE WAS RETRIEVED AND IS AT THE HOSPITAL.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF RECEIVED WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Remedial action

  • Other