(b)(4).Device was not explanted.(b)(4) the investigation could not be completed; no conclusion could be drawn as no product was received.Device history review: manufacturing date: february 17, 2015 ¿ expiration date: january 31, 2020 (b)(4)) manufactured the ti curved radial stem (part 04.402.028s / lot 7785172) for synthes work orders.The supplier¿s certificate of compliance (dated december 9, 2014) indicates that the parts were made to and met the required specifications.The lot was inspected and conformed to the synthes, incoming final inspection sheet.No non-conformance reports were generated for this lot.Device used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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It was reported that a curved radial head stem did not fit correctly into place during a left radial head prosthesis revision procedure.The purpose of the revision was to replace a short stem with a long stem as the patient had reported post-operative pain following the original procedure (which utilized a competitor's device).X-rays prior to the revision procedure indicated that the implanted device had "wollered out" or migrated.During the revision procedure, an 8mm curved radial stem was inserted after reaming.The surgeon indicated that the stem did not fit correctly.The head of the stem did not articulate with the capitulum and appeared to be pointing out backwards toward the olecranon.The implant was removed and reassembled on the back table.Upon reinsertion, the surgeon turned it 180 degrees; the device fit perfectly.A ninety (90) minute delay was noted.The procedure was completed without further incident.This report is 1 of 2 for (b)(4).
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