ENCORE MEDICAL L.P. ALTIVATE SHOULDER; ENCORE REVERSE SHOULDER HUMERAL STEM, STD, SZ6X108MM
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Model Number 509-01-432 |
Device Problem
Device Operates Differently Than Expected (2913)
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Patient Problem
No Code Available (3191)
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Event Date 11/08/2017 |
Event Type
Injury
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Event Description
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Revision surgery - due to cement failure.The stem and poly were removed.
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Manufacturer Narrative
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The reason for this revision surgery was due to cement failure.The in-vivo length of patient service for the implant was 4 months.There is no information in this complaint about any patient injuries, activities, or accidents that may have contributed to the need for this revision surgery.There are no reported pre-existing patient health conditions.The healthcare professional indicated there was no delay in surgery and another suitable device was available for use.The revision surgery was completed as intended.The device was disposed of at the hospital and not made available to djo surgical for examination.A review of the implant device history records (dhr) shows that the reported component used in the previous surgery met design and manufacturing requirements.There were no non-conforming material reports (ncmrs) associated with the product that may have contributed to the event.The device was within its expiration date at the time of use during the previous surgery.Customer complaint history of the reported device showed no present trends or on-going issues that are in need of review.This event is deemed to be non-product related.The root cause of this complaint was a revision surgery due to the cement failure.There are multiple factors that may contribute to the event that are outside the control of djo surgical are excessive loads or torques, poor penetration of cement in to the bone, improper surgical procedure, poor bone quality, patient activities or trauma.No additional information was submitted with the complaint regarding pre-existing conditions of the patient or any activities that may have contributed to the event and hence a definitive root cause cannot be determined.Inventory containment is not required as there are no indications of a product or process issue affecting implant safety or effectiveness.
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Manufacturer Narrative
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Corrected data: the reason for this revision surgery was due to cement failure.The in-vivo length of patient service for the implant was 4 months.There is no information in this complaint about any patient injuries, activities, or accidents that may have contributed to the need for this revision surgery.There are no reported pre-existing patient health conditions.The healthcare professional indicated there was no delay in surgery and another suitable device was available for use.The revision surgery was completed as intended.The device was disposed of at the hospital and not made available to djo surgical for examination.A review of the implant device history records (dhr) shows that the reported component used in the previous surgery met design and manufacturing requirements.There was a non-conforming material report (ncmr) # (b)(4) associated with the part 530-06-108, reverse shoulder humeral stem, size 6mm standard which documents a nonconformance that out of 15 quantity lot 2 items were rejected as the coating bulge was not within boundary lines on overlay.It was reworked with suitable operations and were accepted.The device was within its expiration date at the time of use during the previous surgery.Customer complaint history of the reported device showed no present trends or on-going issues that are in need of review.This event is deemed to be non-product related.The root cause of this complaint was a revision surgery due to the cement failure.There are multiple factors that may contribute to the event that are outside the control of djo surgical are excessive loads or torques, poor penetration of cement in to the bone, improper surgical procedure, poor bone quality, patient activities or trauma.No additional information was submitted with the complaint regarding pre-existing conditions of the patient or any activities that may have contributed to the event and hence a definitive root cause cannot be determined.Inventory containment is not required as there are no indications of a product or process issue affecting implant safety or effectiveness.
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