Model Number 1100-10-100 |
Device Problems
Loss of Osseointegration (2408); Malposition of Device (2616); Naturally Worn (2988)
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Patient Problems
Pain (1994); Joint Disorder (2373); Inadequate Osseointegration (2646); No Code Available (3191)
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Event Date 09/01/2020 |
Event Type
Injury
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Manufacturer Narrative
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Product complaint # (b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Event Description
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Reason for revision: aseptic loosening leading to dislocation, pain & osteolysis.The reason for revision is dislocation.The cause of the dislocation is uncertain.She is demented, and there is an x-ray documenting a reduced joint three weeks ago.The joint has been painful.Humeral component may be loose.Patient will be revised to a cemented humeral component, though stability may still be an issue.Attended revision case.Primary pe cup and humeral stem were worn and explanted.Surgeon noted 'tarnishing" to the glenosphere, but opted to leave it in-situ due to patient frailty despite advice to exchange it.Cemented delta xtend (long stem) used with new pe cup during revision to restore function.Surgeon believes that oseo-integration of the primary humeral stem never full occured so stem became loose and mal-rotated causing implant impingement & metal on metal contact/wear leading to further aseptic loosening and subsequent osteolysis and dislocation.Action taken :the patient required a revision to a cemented delta xtend long stem with new pe cup.Patient condition: dementia.Female patient initials: m.M height 180cm weight (b)(6).
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Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Manufacturer Narrative
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Product complaint # (b)(4).Investigation summary - no device associated with this report was received for examination.Review of the attached photographs identified the revised products and confirmed the product wear as reported.A worldwide complaint database search found no other related reported incidents against the provided product code/lot number combination since release for distribution.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Device history lot - product code 110010100, work order 8064453 was manufactured on (b)(6) 2015.08 parts were manufactured per specification and all raw materials met specification.No parts were scrapped from lot 8064453.No ncs (non-conformances) found associated with lot 8064453.
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Search Alerts/Recalls
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