inforMED
MalfunctionHSH

TIBIAL INSERT IMPACTOR TIP

Received Aug 14, 2013 · Event occurred Jul 1, 2013

Report 3004153240-2013-00120 · MDR key 3349869

Device

Generic name

Reusable Instrument Component

Manufacturer

Conformis

Catalog number

ED-03475

Lot number

G1231

Product problems

  • Break
  • Sticking

Patient

56 YR

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE REUSABLE TIBIAL INSERT IMPACTOR TIP BROKE WHILE IMPACTING THE POLY INSERT. THE CONNECTION POST BROKE OFF AND BECAME STUCK INSIDE THE REUSABLE IMPACTOR HANDLE. THE SURGEON IMPACTED THE FEMORAL COMPONENT BY IMPACTING THE FEMORAL IMPACTOR TIP DIRECTLY. SURGERY WAS COMPLETED SUCCESSFULLY.

Additional Manufacturer Narrative

THE REUSABLE TIBIAL INSERT IMPACTOR TIP BROKE WHILE IMPACTING THE POLY INSERT. THE CONNECTION POST BROKE OFF AND BECAME STUCK INSIDE THE REUSABLE IMPACTOR HANDLE. THE SURGEON IMPACTED THE FEMORAL COMPONENT BY IMPACTING THE FEMORAL IMPACTOR TIP DIRECTLY. SURGERY WAS COMPLETED SUCCESSFULLY. REVIEW OF INSPECTION RECORDS FOR THE AFFECTED LOT INDICATE THAT THE DEVICE WAS MANUFACTURED TO SPECIFICATION.