EXACTECH, INC. TRULIANT TIB IMP PS INSERT SZ 3 11MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED
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Model Number TRULIANT TIB IMP PS INSERT SZ 3 11MM |
Device Problem
Contamination (1120)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/09/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Additional information, including the product investigation, will be submitted within 30 days of receipt.
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Event Description
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As reported, during surgical use of the truliant tib imp ps insert sz 3 11mm, a hair was noted in the device package.Patient was last known to be in stable condition following the event.The device will be returned.Patient was not effected.
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Manufacturer Narrative
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After further review of additional information received the following sections g3, g6, h2, h3 and h6 have been updated accordingly.(h3) based on the investigation conducted regarding complaints of hair in sterile packaging, inconsistencies in prevention methods were found such as use of ppe at handling and detection methods, such as standard inspection process for identifying the existing visual inspection criteria.No environmental control was found to ensure lighting is consistent at inspection points and review of training records show there is no standard method to document confirmation of operator ability to detect this particular defect.Additionally, the risk of foreign particulate or hair in the package was not identified.Although reported to have been noticed upon opening of the inner packaging, the complaint device was returned without intact sterile packaging so the presence of the hair inside the packaging prior to opening the implant cannot be confirmed.The hair within sterile packaging reported was likely the result of a lack of standardization around variables (process, lighting, ppe) pertaining to material handling and visual inspection.A risk assessment has been initiated to escalate this issue.
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Search Alerts/Recalls
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