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
110816.09ACatalog 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.