Reported event: an event regarding involving a altr was reported.The event was confirmed by x ray review.Method & results: device evaluation and results: not performed as product was not returned.Clinician review: the implant in situ was for patient specific proximal tibial replacement which was inserted in (b)(6) 2000.The surgeon reported ¿loosening.Osteolysis from metal debris¿.The x-ray images provided show osteolysis, bone lesion, resorption and remodelling in femoral condyles.There was suspected pseudo-tumour (aseptic lymphocyte-dominated vasculitis-associated lesion (alval) on medial and posterior side of the femoral condyle which was mainly caused by metal debris.Therefore, the radiographic review can confirm the clinical report and reason for revision.Device history review: review of the product history records indicate the device was manufactured and accepted into final stock with no reported discrepancies.Complaint history review: there have been no other events for the lot referenced.Conclusion: the exact cause of the event could not be determined because insufficient information was provided.Additional information including operative reports, pathology reports, progress notes, and return of the device are needed to fully investigate the event.If further information becomes available or the product is returned, this investigation will be re-opened.
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