inforMED
InjuryHTG

UNKNOWN DEPUY PATELLA

Received Mar 12, 2013 · Event occurred Sep 5, 2012

Report 1818910-2013-04216 · MDR key 2999385

Device

Generic name

Patella

Manufacturer

Depuy Warsaw

Catalog number

UNK

Lot number

UNK

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

56 YR

  • Pain

Narrative

Additional Manufacturer Narrative

**UPDATE** 02/15/2013 - THE PATIENT'S MEDICAL RECORDS WERE RECEIVED. RECORDS INDICATE UPON REVISION PATELLA BAJA WAS FOUND. THE FEMORAL AND PATELLA WERE ADDED TO THE COMPLAINT AND THE COMPLAINT WAS RE-OPENED. MEDICAL RECORDS AND X-RAYS WERE OBTAINED AND REVIEWED. THE PRODUCT CODE AND LOT CODE REQUIRED IN RETRIEVING THE DEVICE HISTORY RECORDS FOR REVIEWING AND SEARCHING THE COMPLAINT DATABASE FOR THE NEWLY ADDED PRODUCTS WERE NOT PROVIDED. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS REGARDING THE REPORTED EVENT WITH THE PROVIDED INFORMATION. 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.

Description of Event or Problem

CLINICAL REPORT STATES: ASEPTIC LOOSENING OF THE TIBIAL TRAY. **UPDATE** (B)(4) 2013 - THE PATIENT'S MEDICAL RECORDS WERE RECEIVED. RECORDS INDICATE UPON REVISION PATELLA BAJA WAS FOUND. THE FEMORAL AND PATELLA WERE ADDED TO THE COMPLAINT AND THE COMPLAINT WAS RE-OPENED.

Additional Manufacturer Narrative

THE INVESTIGATION HAS BEEN REOPENED DUE TO RECEIVING INFORMATION ON FEMORAL AND PATELLA. DEPUY WILL NOTIFY THE FDA WHEN THE INVESTIGATION IS COMPLETE.

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.