The literature article titled, "does knee prosthesis survivorship improve when implant designs change? findings from the australian orthopaedic association national joint replacement registry" written by peter l.Lewis mbbs, fracs(orth), faortha, stephen e.Graves mbbs, dphil, fracs(orth), faortha, richard n.De steiger mbbs, phd, fracs(orth), faortha, david g.Campbell bmbs, phd, fracs(ortho), faortha, yi peng mmed (epi & stats), alesha hatton b.Med math (hons), and michelle lorimer bsc (maths & compsc) (hons) published by clinical orthopaedics and related research 2020 was reviewed.The article's purpose was to analyze multiple comparisons of the survivorship of different primary knee constructions both depuy and non depuy products.Criteria for survivorship measured by revision marking end of survivorship.Main study focus was revision reasons of joint instability and tibial insert wear.A similar article reviewed under (b)(4) utilizes the same registry with data set from september 1999 to december 2015, but the current article includes a data set from september 1999 to december 2017 (an additional 2 years).Therefore, this complaint captures the possible revision included within the additional 2 years.Also this current article includes patients who received patellar resurfacing and those who did not.Cement manufacturer not identified or discussed.As this data set is an expansion of a previous analysis, quantities of products involved cannot be accurately determined.Depuy products: attune femoral, attune tibial insert, attune tibial tray, attune patella, sigma femoral, sigma tibial insert, sigma tibial tray, sigma patella.Adverse events applicable to all studied products: revisions for poly tibial insert wear.Revisions for joint instability.
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Product complaint # (b)(4).Investigation summary : no device associated with this report was received for examination.A worldwide lot specific complaint database search, or device history record (dhr) review, was not possible because the required lot number was not provided.Based on previous investigations, this complication of joint replacement is unlikely to have been the result of a device failing to meet required specifications.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 : the product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).Where the lot code was provided, a manufacturing records evaluation (mre) was not performed.
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