inforMED
InjuryKRR

JOURNEY PF IMPLANT MED LT

Received Aug 25, 2015 · Event occurred Dec 28, 2011

Report 1020279-2015-00602 · MDR key 5029410

Device

Generic name

Patello-femoral Replacement

Catalog number

71461014

Lot number

09EM14423

Product problems

  • Insufficient Device Problem Information

Patient

60 YR

  • Fall

Narrative

Additional Manufacturer Narrative

CUSTOMER INDICATED THAT THERE IS NO PRODUCT/DEVICE TO BE RETURNED FOR INVESTIGATION ANALYSIS.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT UNDERWENT A REVISION SURGERY 6 WEEKS POST OP AFTER SUSTAINING A FALL.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: (B)(4). NO CLINICAL SUPPORTING DOCUMENTS HAVE BEEN PROVIDED TO CONDUCT A THROUGH ANALYSIS OF THE REPORTED DEVICE FAILURE. NO PRODUCT WAS RETURNED, HENCE VISUAL OR DIMENSIONAL INSPECTION COULD NOT BE COMPLETED. IN THE ABSENCE OF THE ACTUAL DEVICES, THE PRODUCTION RECORDS WERE REVIEWED FOR THE DEVICES REPORTEDLY INVOLVED IN THIS INCIDENT. DEVICE HISTORY RECORD REVIEW CONFIRMED THAT ALL RELEASED PARTS MET SPECIFICATIONS APPLICABLE AT THE TIME OF PRODUCTION. IF MORE INFORMATION IS RECEIVED, THIS INVESTIGATION WILL BE REOPENED.