inforMED
MalfunctionHSH

TIBIAL INSERT IMPACTOR TIP

Received Aug 2, 2013 · Event occurred Jul 1, 2013

Report 3004153240-2013-00118 · MDR key 3281135

Device

Generic name

Reusable Impactor Component

Manufacturer

Conformis

Catalog number

ED-04011

Lot number

L120701

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

PERIODIC REVIEW OF ITEMS REMOVED FROM ITOTAL REUSABLE INSTRUMENT TRAYS DURING REPROCESSING WAS COMPLETED. THE REVIEW SHOWED THAT TWO FEMORAL IMPACTOR HEADS HAD BROKEN.

Additional Manufacturer Narrative

PERIODIC REVIEW OF ITEMS REMOVED FROM ITOTAL REUSABLE INSTRUMENT TRAYS DURING REPROCESSING WAS COMPLETED. THE REVIEW SHOWED THAT TWO FEMORAL IMPACTOR HEADS HAD BROKEN. THE IMPACTOR HEADS WERE BROKEN AT THE POINT WHERE THEY CONNECT TO THE IMPACTOR HANDLE. A HORIZONTAL GROVE WAS PRESENT ACROSS THE CONNECTION BORE ON ONE IMPACTOR HEAD. INSPECTION OF THE AFFECTED LOT OF MATERIAL INDICATED THAT THERE WAS A SPECIFIED RADIUS MISSING AT THE BOTTOM OF THE CONNECTION POST WHERE THE FRACTURE OCCURRED.