inforMED
InjuryHTG

UNKNOWN DEPUY LS PFJ PATELLA

Received Feb 13, 2013 · Event occurred Feb 1, 2013

Report 1818910-2013-12278 · MDR key 2958805

Device

Generic name

Patella Prosthesis

Catalog number

UNK-KNEE

Lot number

UNKNOWN

Product problems

  • Device Dislodged or Dislocated
  • Naturally Worn

Patient

44 YR

  • No Information

Narrative

Description of Event or Problem

PATIENT WAS REVISED AFTER PATIENT NOTICED A POP WHEN EXERCISING. THE POLY HAD DISASSOCIATED FROM THE PATELLA BASEPLATE, AND THERE WAS A LARGE AMOUNT OF POLY WEAR.

Additional Manufacturer Narrative

THE DEVICE ASSOCIATED WITH THIS REPORT WAS NOT RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS AND/OR A LOT SPECIFIC COMPLAINT DATABASE SEARCH WAS NOT POSSIBLE AS THE PRODUCT CODE AND LOT CODE REQUIRED WAS NOT PROVIDED. REQUESTS FOR ADDITIONAL INVESTIGATIONAL INPUTS WERE MADE IN ACCORDANCE WITH WI-7915 APPENDIX A; REV. D. 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 DETERMINE 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.

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.