inforMED
MalfunctionHSH

ITOTAL TIBIAL TRAY IMPACTOR TIP

Received Apr 18, 2013 · Event occurred Mar 1, 2013

Report 3004153240-2013-00072 · MDR key 3089592

Device

Generic name

Reusable Impactor Tip

Manufacturer

Conformis

Catalog number

ED-03967

Lot number

E120801

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE REUSABLE TIBIAL TRAY IMPACTOR TIP BROKE UPON IMPACTION OF THE TIBIAL TRAY. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH NO KNOWN ADVERSE IMPACT TO THE PT.

Additional Manufacturer Narrative

THE REUSABLE TIBIAL TRAY IMPACTOR TIP BROKE UPON IMPACTION OF THE TIBIAL TRAY. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH NO KNOWN ADVERSE IMPACT TO THE PT. REVIEW OF INSPECTION RECORDS FOR THE AFFECTED LOT INDICATE THAT THE DEVICE WAS MFG TO SPECIFICATION.