MAUDE Adverse Event Report: SMITH & NEPHEW, INC. TANDEM BIPOLAR COCR 46OD 28ID; PROSTHESIS, HIP, HEMI-, FEMORAL, METAL/POLYMER, CEMENTED OR UNCEMENTED

Model Number 71302804

Device Problems Material Erosion (1214); Device Dislodged or Dislocated (2923)

Patient Problems Fall (1848); Failure of Implant (1924); Joint Dislocation (2374)

Event Date 11/29/2022

Event Type  Injury  

Event Description

It was reported that, after a thr surgery, had been performed on (b)(6) 2022, the patient sustained a fall and the cocr 12/14 fem head 28 + 4 of the tandem bipolar became disassociated.The shell with the locking ring remained intact.However there was wear around the locking ring of the tandem bipolar cocr 46od 28id where the ball came out.The locking ring was removed and the inner ball replaced on (b)(6) 2022.The ball did not come out.Patient current health status is unknown.

Manufacturer Narrative

Internal complaint reference: (b)(4).

Event Description

It was reported that, after a thr surgery, had been performed on (b)(6) 2022, the patient sustained a fall and the cocr 12/14 fem head 28 + 4 of the tandem bipolar became disassociated.The shell with the locking ring remained intact.However there was wear around the locking ring of the tandem bipolar cocr 46od 28id where the ball came out.The locking ring was removed and the inner ball replaced on (b)(6) 2022.Once the implants were removed from the patient the implants were able to be put back together and the head remained in the shell.Patient current health status is unknown.

Manufacturer Narrative

B1: event description.

Manufacturer Narrative

D1, d2, d4, d6a, d6b, d10, h4 (device information).

Manufacturer Narrative

Additional information: b5.H3, h6: the device was not returned for evaluation.However, the photographs were reviewed, and revealed that the device has some areas that are wear.The clinical/medical investigation concluded that, he provided photos were reviewed but do not aid in determining a clinical root cause for the disassociation.It is reported the patient fell and the tandem bipolar shell was disassociated from the femoral head.Once the implants were removed from the patient the implants were able to be put back together and the head remained in the shell.The patient impact beyond the disassociation and revision cannot be determined with the limited information reported.A review of the production order did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.A review of complaint history for the part number over the past 12 months and for the batch number based on historical data of the device did not reveal similar events for the listed device.A review of the instructions for use documents for endoprostheses systems revealed that care must be taken to assess the presence of any irregularity, anomaly, or surface configuration which may predispose to subluxation and/or dislocation of the prosthesis as a warning.A review of the risk management file revealed this failure mode was previously identified.The anticipated risk level is still adequate.A historical review concluded that there are no prior actions related to this product and event.At this time, we have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.With the results of this investigation the root cause of this event could not be determined.Factors that could contribute to the reported event include friction due to traumatic injury, patient anatomy, postoperative care or abnormal loading of limb.Based on this investigation, the need for corrective action is not indicated.Should the device or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.

Event Description

It was reported that, after a thr surgery, had been performed on (b)(6) 2022, the patient sustained a fall and the cocr 12/14 fem head 28 + 4 of the tandem bipolar became disassociated.The shell with the locking ring remained intact.However there was wear around the locking ring of the tandem bipolar cocr 46od 28id where the ball came out.The locking ring was removed and the inner ball replaced on (b)(6) 2022.Patient current health status is unknown.

Manufacturer Narrative

A1 - patient identifier added.B3 ¿ description updated.D10 ¿ concomitant devices added.

Event Description

It was reported that, after left thr surgery was performed on (b)(6) 2022 due to trochanteric fracture, the patient sustained a fall experienced dislocation of the bipolar ball.This adverse event was treated by performing a revision surgery on (b)(6) 2022.The shell with the locking ring remained intact.However, there was wear around the locking ring of the tandem bipolar cocr 46od 28id where the ball came out.The locking ring was removed; the femoral component and head ball were explanted and replaced with smith+nephew devices (tandem).The patient deceased on (b)(6) 2022 due to unspecified causes.She was already in palliative care, hospice and dnr; unable to recover following surgery.

Manufacturer Narrative

H3, h6: the devices were not returned for evaluation.However, the photographs were reviewed, and revealed that the locking ring has some edges that are wear.The clinical/medical investigation concluded that, additional request for information related to the cause of the patient¿s death was not received.Based on a review of the information provided, there is no clinical indication that the patient¿s fall, subsequent dislocation and revision, and death were related to a malperformance of the implant or implant failure.However, with the patient¿s significant comorbidities, brain mass, dementia, history of falls and advanced age cannot be ruled out as likely contributing factors to the reported events and patients¿ clinical status.No further clinical assessment was warranted at this time.A review of the production orders did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.A review of complaint history for the part number over the past 12 months and for the batch number based on historical data of the device did not reveal similar events for the tandem bipolar.A review of complaint history revealed similar events for the head over the previous 12 months, but no similar events for the batch based on the historical data, this failure mode will be monitored for future complaints for any necessary corrective actions.A review of complaint history based on the historical data of the stem revealed similar events for the listed batch, this failure mode will be monitored for future complaints for any necessary corrective actions.A review of the instructions for use documents for total hip systems (head and stem) revealed the need of warning patients against unassisted activity, particularly use of toilet facilities and other activities that require excessive motion of the hip, as they may result in subluxation or dislocation, this has been identified as postoperative warnings and precautions.A review of the instructions for use documents for endoprostheses systems (tandem bipolar) revealed that care must be taken to assess the presence of any irregularity, anomaly, or surface configuration which may predispose to subluxation and/or dislocation of the prosthesis as a warning.A review of the risk management files revealed this failure mode was previously identified.The anticipated risk level is still adequate.A historical review concluded that there are no prior actions related to the head or stem and the event.A review concluded that a similar event for the tandem bipolar was found related to dislocation, and escalated actions were opened.The listed batch was not part of the impacted product.At this time, we have no reason to suspect that the product failed to meet any specifications at the time of manufacture.Factors that could contribute to the reported event include traumatic injury, patient anatomy, patients¿ clinical history, postoperative care or abnormal loading of limb.Based on this investigation, the need for corrective action is not indicated.Should the devices or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.

• Brand Name: TANDEM BIPOLAR COCR 46OD 28ID
• Type of Device: PROSTHESIS, HIP, HEMI-, FEMORAL, METAL/POLYMER, CEMENTED OR UNCEMENTED
• Manufacturer (Section D): SMITH & NEPHEW, INC.; 1450 brooks rd.; memphis TN 38116
• Manufacturer (Section G): SMITH & NEPHEW, INC.; 1450 brooks rd.; memphis TN 38116
• Manufacturer Contact: holly topping ; 7000 west william cannon drive; austin, TX 78735 ; 5123913905
• MDR Report Key: 16048280
• MDR Text Key: 306154463
• Report Number: 1020279-2022-05050
• Device Sequence Number: 1
• Product Code: KWY
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K023743
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup,Followup,Followup
• Report Date: 05/05/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 12/26/2022
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: 71302804
• Device Catalogue Number: 71322046
• Device Lot Number: 22GM18066
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 05/04/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 07/28/2022
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: CPCS COCR PR 12/14 SZ0(PN:71312360,LN:20GM13174); CPCS DIST CNT SZ 8MM(PN:71312408,LN:22CM15649); PN: 71302804 / LOT: 22DT62507
• Patient Outcome(s): Required Intervention
• Patient Age: 93 YR
• Patient Sex: Female