inforMED
InjuryMBV

LG. STEMMED TIBIAL 7MM LEFT/PCA MEDIUM DOME PATELLA

Received Sep 22, 1993 · Event occurred Aug 27, 1993

Report 34030-1993-00011 · MDR key 6636

Device

Generic name

Tibial Insert - Patella

Manufacturer

Howmedica, Inc.

Catalog number

6638-5-307 6638-3-960

Patient

72 YR

Narrative

Description of Event or Problem

PATIENT PRESENTED WITH PAIN IN KNEE JOINT, PARTICULARLY IN AREA OF PATELLA. GRATING SENSATIONS NOTED, WHICH WORSENED WITH TIME.PATELLAR COMPONENT FRACTURED - AND POLY COMPONENT DISASSOCIATED FROM METAL BACKING.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 NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.