inforMED
MalfunctionOLC

XL CMI - MEDIAL

Received Jul 1, 2019 · Event occurred Jun 11, 2019

Report 0002936485-2019-00267 · MDR key 8751215

Device

Generic name

Scaffold, Partial Medial Meniscal Defects Extending Into The Red/white Zone, Re

Catalog number

4612

Lot number

18E535

Product problems

  • Break

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

ALLEGED FAILURE: IMPLANT BROKE DURING INSERTING. THE FAILURE(S) IDENTIFIED IN THE INVESTIGATION IS CONSISTENT WITH THE COMPLAINT RECORD. THE PROBABLE ROOT CAUSES COULD BE: 1) EXCESSIVE FORCE APPLIED ON CMI, 2) USER INADEQUATELY PREPARED CMI FOR REPAIR, OR 3) USER OVER-CLAMPS IMPLANT. THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE BROKE. ADDITIONAL INFORMATION CONFIRMED NO PIECES WERE LEFT FLOATING IN THE JOINT.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED. PMA/ 510(K) NUMBER WILL BE SUPPLIED IN THE FOLLOW UP REPORT.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE BROKE. ADDITIONAL INFORMATION CONFIRMED NO PIECES WERE LEFT FLOATING IN THE JOINT.