STRYKER ORTHOPAEDICS-MAHWAH HMRS BEARING - 18 X 24; PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER
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Model Number 6465-6-018 |
Device Problems
Degraded (1153); Unstable (1667); Naturally Worn (2988)
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Patient Problems
Ambulation Difficulties (2544); Hyperextension (4523); Joint Laxity (4526)
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Event Date 03/18/2022 |
Event Type
Injury
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Event Description
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The following was reported: revision (hmrs parts replacement).After 23 years, the poly is worn out.It is manifested by hyperextension of the knee joint and marked instability.The distal femur shows signs of wear, which shows up as metallosis in the knee joint."now after the revision surgery everything was fine again.".
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Manufacturer Narrative
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It was noted that the device is not available for evaluation.Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.
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Event Description
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The following was reported: revision (hmrs parts replacement).After 23 years, the poly is worn out.It is manifested by hyperextension of the knee joint and marked instability.The distal femur shows signs of wear, which shows up as metallosis in the knee joint."now after the revision surgery everything was fine again.".
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Manufacturer Narrative
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Reported event: an event regarding wear and instability involving a hmrs bushing was reported.The event was not confirmed.Method & results: -product evaluation and results: visual inspection: visual inspection of the returned device indicated that some scratch marks are present on the outer surface of the bushing consistent with attempted explantation.Dimensional inspection: dimensional inspection was not performed because the device was returned damaged.Functional inspection: functional inspection was not performed because the device was returned damaged.Material analysis: there is no indication that the event was a result of a material integrity issue.If further information becomes available additional testing will be performed.-clinician review: no medical records were received for review with a clinical consultant.-product history review: could not be performed as the device lot details were not provided.-complaint history review: could not be performed as the device lot details were not provided.Conclusions: it was reported that the patient was revised due to wear of the components.Visual inspection: visual inspection of the returned device indicated that some scratch marks are present on the outer surface of the bushing.There is no indication that the event was a result of a material integrity issue.If further information becomes available additional testing will be performed.The exact cause of the event could not be determined because insufficient information was provided.Further information such as pathology reports, pre- and post-operative x-rays and the primary/revision operative reports as well as patient history and follow-up notes are needed to complete the investigation for determining root cause.No further investigation for this event is possible at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
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