STRYKER ORTHOPEDICS
Received Jun 27, 2013 · Event occurred Jun 24, 2013
Report MW5030726 · MDR key 3204003
Device
Generic name
Tibial Bearing Insert 11mm
Manufacturer
Stryker OrthopedicsModel number
5530P811Lot number
1CH091
Product problems
- Device Operates Differently Than Expected
Patient
66 YR
- Pain
- Scar Tissue
- Swelling
- Device Embedded In Tissue or Plaque
Narrative
Description of Event or Problem
PATIENT HAD A LEFT KNEE HARDWARE REMOVAL SECONDARY TO PAIN, SWELLING, LOCKING, CATCHING AND POPPING OF THE KNEE. REMOVAL OF THE HARDWARE WAS NECESSARY TO "PREVENT PERMANENT IMPAIRMENT OF THE BODY FUNCTION OR DAMAGE TO A BODY STRUCTURE." OPERATIVE REPORT STATES LEFT KNEE REVISION TOTAL KNEE REPLACEMENT WITH EXCISION OF A LARGE CEMENT FRAGMENT. SIGNIFICANT SCAR TISSUE WAS REMOVED. POLYETHYLENE WAS REMOVED ALSO. THE 13MM X 8MM CR POLY WAS INSERTED TO REPLACE THE EXPLANTED 11MM POLY. REPLACEMENT WAS A STRYKER ORTHO TIBIAL BEARING INSERT. EXPLANT WAS SENT PER REQUEST OF SURGEON TO (B)(6) ORTHOPEDIC LAB.