inforMED
InjuryKRR

JOURNEY PF IMPLANT MED LT

Received Aug 25, 2015 · Event occurred Aug 12, 2015

Report 1020279-2015-00603 · MDR key 5029422

Device

Generic name

Patello-femoral Replacement

Catalog number

71461014

Lot number

09EM14423

Product problems

  • Insufficient Device Problem Information

Patient

63 YR

  • Skin Tears

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 A REVISION SURGERY WAS PERFORMED AFTER THE SKIN BROKE DOWN OVER THE IMPLANT. THE IMPLANT WAS REMOVED DURING THE REVISION.

Additional Manufacturer Narrative

(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.