inforMED
MalfunctionHSH

TIP, TIBIAL INSERT IMPACTOR

Received Jun 5, 2013 · Event occurred May 6, 2013

Report 3004153240-2013-00095 · MDR key 3179163

Device

Generic name

Reusable Impactor Component

Manufacturer

Conformis

Catalog number

ED-03475

Lot number

G1231

Product problems

  • Break

Patient

47 YR

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE REUSABLE POLY INSERT IMPACTOR TIP BROKE AT THE POINT WHERE THE TIP CONNECTS TO THE IMPACTOR HANDLE. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Additional Manufacturer Narrative

THE REUSABLE TIBIAL TRAY IMPACTOR TIP BROKE AT THE POINT WHERE THE TIP CONNECTS TO THE IMPACTOR HANDLE. THE SURGERY WAS COMPLETED SUCCESSFULLY. REVIEW OF INSPECTION RECORDS FOR THE AFFECTED LOT INDICATE THAT THE DEVICE WAS MANUFACTURED TO SPECIFICATION.