SMITH & NEPHEW, INC. UNKN ORTHOPAEDIC RECONSTRUCTION DEV; PROSTHESIS, HIP, FEMORAL COMPONENT, CEMENTED, METAL
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Catalog Number UNKNOWN |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Bacterial Infection (1735)
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Event Date 09/17/2019 |
Event Type
Injury
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Event Description
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It was reported that, on literature review "midterm outcomes of total hip arthroplasty with a modular birmingham head", 3 patients who underwent primary tha with an oxinium femoral head, a synergy hip stem and either a reflection or r3 acetabular cup required a revision surgery due to postoperative infection with a median time to revision of 59 months post initial implantation.1 of these infected patients had a significant psychiatric history and was lost to follow-up after revision.A second developed the infection from septic emboli from a cardiac vegetation.The third infected patient was associated with immunosuppression from treatment of an unrelated malignancy.1 case had positive staphylococcus aureus cultures, 1 group b streptococcus, and the third for escherichia coli.Additional details on the clinical outcome of each patient are unknown at this time.No further information is available.
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Manufacturer Narrative
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Internal complaint reference: (b)(4).Cushnie, d.W., lanting, b.A., mccalden, r., naudie, d.D., & howard, j.L.(2021).Midterm outcomes of total hip arthroplasty with a modular birmingham head.Hip international, 31(1), 103-108.Doi: doi.Org/10.1177/1120700019877389.
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Manufacturer Narrative
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The devices were not returned for evaluation and the reported event could not be confirmed.The clinical/medical investigation concluded that without clinically relevant patient-specific supporting documentation, a thorough medical investigation could not be performed.The root cause and/or patient outcome beyond that which was documented in the article could not be confirmed nor concluded; therefore, no further medical assessment is warranted at this time.Should additional medical information be provided this complaint will be re-assessed.At this time, we have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.Possible causes could include but are not limited to contamination, patient reaction, and post-operative healing issue.The contribution of the devices to the reported event could not be corroborated.Based on this investigation, the need for corrective action is not indicated.Without the return of the actual product involved, our investigation could not proceed.Should the devices or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.
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