inforMED
MalfunctionKMB

WHITESIDE I TOTAL KNEE IMPLANT

Received Jul 31, 1992 · Event occurred Apr 13, 1992

Report 3470 · MDR key 3470

Device

Generic name

Total Knee Implant

Manufacturer

Dow-corning

Model number

UNKNOWN

Catalog number

UNKNOWN

Lot number

UNKNOWN

Patient

67 YR

Narrative

Description of Event or Problem

PATIENT ADMITTED WITH RECENT PAIN AND SWELLING RT. KNEE. TO HAVE REVISION OF KNEE.DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NONE OR UNKNOWN. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE RETURNED TO MANUFACTURER/DEALER/DISTRIBUTOR. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.