inforMED
MalfunctionMAY

ACCOLADE OFFSET RASP HANDLE

Received Apr 22, 2016 · Event occurred Mar 28, 2016

Report 0002249697-2016-01290 · MDR key 5597890

Device

Generic name

Prosthesis, Hip, Semi-constrained, Metal/ceramic/polymer, Cemented Or Non-porous

Catalog number

1020-1400

Lot number

UNKNOWN

Product problems

  • Break
  • Device Dislodged or Dislocated
  • Insufficient Device Problem Information
  • Insufficient Device Problem Information

Patient

67 YR

  • No Consequences Or Impact To Patient
  • No Known Impact Or Consequence To Patient
  • No Consequences Or Impact To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

WHILE SURGEON WAS PREPARING THE FEMUR FOR THE EXETER PROSTHESIS, THE EXETER MODULAR BROACH BROKE OFF/DISENGAGED FROM THE BROACH HANDLE RESULTING IN THE BROACH BEING LEFT IN SITU UNTIL THE SURGEON EVENTUALLY WAS ABLE TO REMOVE THE BROACH AND COMPLETE THE TOTAL HIP PROCEDURE.

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED FOR EVALUATION. AN EVENT REGARDING CRACKING/FRACTURING INVOLVING AN ACCOLADE HANDLE WAS REPORTED. THE EVENT WAS NOT CONFIRMED. CONCLUSIONS: THE EXACT CAUSE OF THE EVENT COULD NOT BE DETERMINED BECAUSE INSUFFICIENT INFORMATION WAS PROVIDED. FURTHER INFORMATION SUCH AS RETURN OF DEVICE, PRE- AND POST-OP X-RAYS, PATIENT HISTORY, HISTOPATHOLOGY REPORT & FOLLOW-UP NOTES ARE NEEDED TO INVESTIGATE THIS EVENT FURTHER. IF ADDITIONAL INFORMATION AND/OR DEVICE BECOMES AVAILABLE, THIS INVESTIGATION WILL BE REOPENED.

Description of Event or Problem

WHILE SURGEON WAS PREPARING THE FEMUR FOR THE EXETER PROSTHESIS, THE EXETER MODULAR BROACH BROKE OFF/DISENGAGED FROM THE BROACH HANDLE RESULTING IN THE BROACH BEING LEFT IN SITU UNTIL THE SURGEON EVENTUALLY WAS ABLE TO REMOVE THE BROACH AND COMPLETE THE TOTAL HIP PROCEDURE.