STRYKER ORTHOPAEDICS-MAHWAH DELTA V-40 CERAMIC HEAD 28/+4; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, CEMENTED
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Catalog Number 6570-0-228 |
Device Problem
Material Fragmentation (1261)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 03/26/2019 |
Event Type
malfunction
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Manufacturer Narrative
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It was noted that the device is not available for evaluation.A review of the device history records indicate that devices were manufactured and accepted into final stock with no reported discrepancies.There have been no other events for the lot referenced.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.
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Event Description
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Primary right hip procedure.It was reported that after reducing the hip and irrigating the patient, a pink chip was noticed coming out of the patient.Patient was dislocated and a chip was confirmed to have come off the biolox ceramic head.While waiting for a replacement head from the branch, the surgeon decided to broach for a larger stem (there are no allegations against the stem).The newly implanted stem, head and adm/mdm insert were removed and implanted with a larger stem, another head of the same catalog number, and an adm/mdm insert of the same catalog number.The surgery was completed successfully with an approximately 10-15 minute delay overall.Rep provided an implant sheet and reported that no further information is available.
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Manufacturer Narrative
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An event regarding crack/fracture involving a ceramic head was reported.The event of the crack/fracture was confirmed through material analysis of the returned product.Method & results: product evaluation and results: visual inspection was performed as part of the material analysis report (mar), dated 17 june 2019 noted: the v40 head was returned engaged within the insert.Damage was observed on the distal rim of the ceramic head consistent with contact against a hard object.There was nothing noteworthy observed on the articulating surface of the insert.Metal transfer markings were observed on the distal surface of the v-40 head.A non- continuous metal transfer ring was observed on the female taper of the v-40 head.The observation of a continuous metal transfer ring at the proximal end of the head taper is consistent with proper seating between the head taper and stem trunnion.Macroscopic surface features on the proximal surface indicate that fracture occurred in overload initiating interiorly and propagating outward.A material analysis has been performed.The report concluded: the fracture morphology indicated that the v-40 head fractured in overload with the fracture origin occurring interiorly and propagating outward.Based on the given information, no identifiable materials or manufacturing discrepancies were observed on the surfaces examined.Clinician review: not performed as no medical records were received for review with a clinical consultant.Product history review: indicated all devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusion: an event regarding crack/fracture of a ceramic head during surgery was reported.Visual inspection was performed as part of the material analysis report (mar), dated 17 june 2019 noted: the v40 head was returned engaged within the insert.Damage was observed on the distal rim of the ceramic head consistent with contact against a hard object.There was nothing noteworthy observed on the articulating surface of the insert.Metal transfer markings were observed on the distal surface of the v-40 head.A non-continuous metal transfer ring was observed on the female taper of the v-40 head.The observation of a continuous metal transfer ring at the proximal end of the head taper is consistent with proper seating between the head taper and stem trunnion.Macroscopic surface features on the proximal surface indicate that fracture occurred in overload initiating interiorly and propagating outward.A material analysis has been performed.The report concluded: the fracture morphology indicated that the v-40 head fractured in overload with the fracture origin occurring interiorly and propagating outward.Based on the given information, no identifiable materials or manufacturing discrepancies were observed on the surfaces examined.No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
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Event Description
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Primary right hip procedure.It was reported that after reducing the hip and irrigating the patient, a pink chip was noticed coming out of the patient.Patient was dislocated and a chip was confirmed to have come off the biolox ceramic head.While waiting for a replacement head from the branch, the surgeon decided to broach for a larger stem (there are no allegations against the stem).The newly implanted stem, head and adm/mdm insert were removed and implanted with a larger stem, another head of the same catalog number, and an adm/mdm insert of the same catalog number.The surgery was completed successfully with an approximately 10-15 minute delay overall.Rep provided an implant sheet and reported that no further information is available.
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