inforMED
InjuryPLF

PHYSICIAN DESIGNED CUSTOM ORTHOPEDIC IMPLANT

Received Aug 29, 2019 · Event occurred Jul 31, 2019

Report 3009189869-2019-00012 · MDR key 8947545

Device

Generic name

Physician Designed Custom Orthopedic Implant

Manufacturer

4web, Inc.

Model number

110816.09A

Catalog number

110816.09A

Lot number

51219161

Product problems

  • Break
  • Break

Patient

53 YR

  • Pain
  • Pain

Narrative

Additional Manufacturer Narrative

THE SUBJECT OF THIS FILING WAS UNIQUELY DESIGNED FOR THIS PATIENT'S SPECIFIC PATHOLOGY BY THE PRESCRIBING PHYSICIAN. POST-OPERATIVE RADIOGRAPHS DEMONSTRATED THAT THE DEVICE HAD FRACTURED. THE SURGEON DOES NOT BELIEVE THE IMPLANT CONSTRUCT FAILURE WAS RELATED TO THE DESIGN OF THE 4WEB IMPLANT BUT WAS ATTRIBUTED TO EXISTING PATIENT COMORBIDITIES.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT EXPERIENCED PAIN APPROXIMATELY TWO AND A HALF YEARS POST-OP. THE COMPANY WAS NOTIFIED THAT A REVISION SURGERY WAS REQUIRED. DURING THE REVISION SURGERY, THE 4WEB DEVICE WAS EXPLANTED AND A DIFFERENT TECHNIQUE AND APPROACH WERE USED. NO COMPLICATIONS WERE REPORTED TO THE MANUFACTURER.