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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CORIN MEDICAL UNITY TOTAL KNEE SYSTEM; TIBIAL INSERT CS FIXED #7 TH11

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CORIN MEDICAL UNITY TOTAL KNEE SYSTEM; TIBIAL INSERT CS FIXED #7 TH11 Back to Search Results
Model Number 1125224
Device Problems Mechanical Problem (1384); Device Dislodged or Dislocated (2923)
Patient Problem Joint Laxity (4526)
Event Date 07/15/2022
Event Type  Injury  
Manufacturer Narrative
Per (b)(4) initial report: additional information, including the primary surgery usage ticket, the lot code of the explanted device, x-rays, operative notes, patient age, activity level, medical history and weight, if the patient experiences any slips/trauma post primary surgery, if the patient followed the correct posrt op protocol and an update on the patient post revision and why the thickness between the device implanted in the first surgery and the one implanted during the revision surgery is so important, has been requested in order to progress with the investigation of this event, and if received, will be provided in a supplemental report upon completion of the investigation.
 
Event Description
Unity revision after approx.8 months due to the cs insert disengaged from the tray.
 
Event Description
Unity revision after approx.8 months due to the cs insert disengaged from the tray.
 
Manufacturer Narrative
Per -4889 final report.Additional information, including the primary surgery usage ticket, the lot code of the explanted device, x-rays, operative notes, patient age, activity level, medical history and weight, if the patient experiences any slips/trauma post priamry surgery, if the patient followed the correct posrt op protocol and an update on the patient post revision and why the thickness between the device implanted in the first surgery and the one implanted during the revision surgery is so important, has been requested in order to progress with the investigation of this event.Part of this information was provided: the patient is 52 year-old male active worker, there was no injury to repprt after his primary surgery, he followed post op protocol and is doing well following the revision.The thickness difference between in the inserts implanted in the first surgery and the revision one is probably because the patient's knee stretched out somewhat and the surgeon did some soft tissue releasing during the poly swap.The 16mm insert was the snuggest and most secure fit for him.Pre-revision x-rays were also provided.Review of the x-ray and pictured confirmed the cs insert disengaged posteriorly.The femoral component was then bearing on the edge on the poly and distorted it due to weight bearing.The device details of the devices implanted during the primary surgery were provided and the relevant device manufacturing records were located and reviewed.The finished devices conformed to material and dimensional specification at the time of manufacture.Based on the above, the root cause of the issue that led to this revision is considered unknown.This case is now considered closed, however, should any additional information be provided then this case may be re-opened for further investigation.The submission of this report does not constitute an admission that the device, reporting entity, entity's representative or distributor caused or contributed to this event.
 
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Brand Name
UNITY TOTAL KNEE SYSTEM
Type of Device
TIBIAL INSERT CS FIXED #7 TH11
Manufacturer (Section D)
CORIN MEDICAL
the corinium center
cirencester, GL7 1 YJ
UK  GL7 1YJ
Manufacturer (Section G)
CORIN MEDICAL
the corinium center
cirencester, GL7 1 YJ
UK   GL7 1YJ
Manufacturer Contact
dardan uka
the corinium center
cirencester, GL7 1-YJ
UK   GL7 1YJ
MDR Report Key15073695
MDR Text Key296293592
Report Number9614209-2022-00058
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K183533
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 09/25/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Model Number1125224
Device Catalogue NumberNOT APPLICABLE
Device Lot Number479306
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 07/15/2022
Initial Date FDA Received07/21/2022
Supplement Dates Manufacturer Received07/15/2022
Supplement Dates FDA Received09/25/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured06/24/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
UNITY FEMORAL COMPONENT: PART 112.001.16 LOT 45096; UNITY PATELLA: PART 112.018.10 LOT 490465; UNITY TIBIAL TRAY: PART 112.040.14 LOT 456360
Patient Outcome(s) Required Intervention; Hospitalization;
Patient Age62 YR
Patient SexMale
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