inforMED
InjuryHTG

UNKNOWN DEPUY 41MM PATELLA

Received Nov 15, 2013 · Event occurred Oct 24, 2013

Report 1818910-2013-33407 · MDR key 3471017

Device

Generic name

Patella Prosthesis

Catalog number

UNK-KNEE

Lot number

UNKNOWN

Product problems

  • Break

Patient

Not reported

  • Bone Fracture(s)

Narrative

Additional Manufacturer Narrative

THE DEVICE ASSOCIATED WITH THIS REPORT WAS NOT RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS AND/OR A COMPLAINT DATABASE SEARCH WAS NOT POSSIBLE AS THE PRODUCT AND LOT CODE REQUIRED WAS NOT PROVIDED. REQUESTS FOR ADDITIONAL INVESTIGATIONAL INPUTS WERE MADE IN ACCORDANCE WITH (B)(4) APPENDIX A. NO ADDITIONAL INFORMATION WAS OBTAINED. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY PRODUCT CONTRIBUTION TO THE REPORTED EVENT WITH THE INFORMATION PROVIDED. BASED ON THE INABILITY TO IDENTIFY ROOT CAUSE, THE NEED FOR CORRECTIVE ACTION WAS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD THE ADDITIONAL INFORMATION BE RECEIVED, THE INVESTIGATION WILL BE RE-OPENED.

Description of Event or Problem

PATIENT WAS REVISED TO ADDRESS A FRACTURE OF THE PATELLA BONE AND PATELLA IMPLANT, AND INSTABILITY. POLY WEAR OF THE TIBIAL INSERT WAS ALSO REPORTED. EXTENSOR MECHANISM WAS ALSO REPAIRED.

Additional Manufacturer Narrative

THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.