The device, used in treatment, has not been returned for evaluation.We have not been able to establish a relationship between the device and the reported event.Probable causes could include issues relating to application techniques and or product failure.A review of the associated batch manufacturing records could not be carried out as no batch/lot number was provided.However, we have no reason to suspect that the product did not meet specifications at the time of manufacture.The complaint history review found further instances of the reported event in the past years.A clinical investigation concluded: during the studying it was reported that the patient suffered an implant revision.Without clinically relevant patient-specific supporting documentation, a thorough medical investigation cannot be performed.The images provided in the article have been interpreted within the text; therefore, no further analysis of the images are required.The root cause and/or patient outcome beyond that which was documented in the article cannot be confirmed nor concluded; therefore, no further medical assessment is warranted at this time.Should additional medical information be provided this complaint will be re-assessed.The instructions for use provide comprehensive instructions of the operation, use and limitations of the device.The associated risk files contain details relating to the harm reported.This investigation is now complete with no further action deemed necessary.Smith + nephew will continue to monitor for any adverse trends relating to this product range.
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