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It was reported that a patient had an initial left total knee arthroplasty with competitor product which was fully revised six years post implantation due to osteolysis and aseptic loosening.Subsequently, the patient reported pain, fever, and drainage from the incision site three weeks postop.The patient underwent an uncomplicated incision and drainage with poly exchange.Cultures were obtained, but no results have been provided.
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(b)(6).The product will not be returned to zimmer biomet for investigation, as the device location is unknown.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.D10: additional associated products.00588006012, 12mm size f articular surface with hinge post ext lot# 65514947.
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This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: b4, b5, d5, g3, g6, h1, h2, h3, h6, h10, h11.Product has not been returned.No product evaluation was able to be completed.Reported event is not related to device therefore, a compatibility review is not applicable.It is expected that a wound heals in stages and should be of normal appearance related to the timeframe since the incision was made.A surgical wound should be well approximated without redness, warmth, swelling and/or purulent drainage for the duration of its healing.The expression ¿wound concerns¿ or "non-healing wound¿ would imply that the appearance of the wound deviates from what a surgical wound should appear.It may be red, have drainage, additional pain, warmth and swelling as well as healing time may be delayed.This deviation signifies an alteration in the wound healing process which can be complicated by patient comorbidities such as diabetes, obesity, smoking, and other conditions that are known to slow a person¿s ability to heal.Wound complications can be treated conservatively or more invasively with an irrigation and debridement (i&d) which promotes healing at the site and prevents further complications.If deeper exploration of the wound is warranted and the joint space is entered, a poly exchange is typically performed in conjunction with the i&d to clear out any debris, hematoma formation, or to prevent deep joint infection.Root cause of the reported event is not device related.No corrective actions, preventive actions, or field actions resulted after investigation of this event.
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