|
Corrected data: product code, common device name, manufacturing site for devices.An event regarding patient factors involving a mrh assembly pack (bushings, sleeve, bumper) was reported.The event was not confirmed.Method & results: -product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device was not returned.-clinician review: confirmation of event: i can confirm that the patient underwent implantation of a gmrs prosthesis with subsequent revision of the implant to correct a rotational deformity and instability since i was able to review the operation report.I can also confirm the other related operations mentioned above since i was able to review those operation reports as well.Root cause analysis: the root cause of this event cannot be determined with certainty.The causes of rotational deformity and instability of a gmrs implant are multifactorial.In this case trauma may well have played a role since the patient had a fall prior to revision surgery.Surgical technique factors contribute including the method of insertion and the final positioning, alignment and fixation.Patient factors including lifestyle, activity level and bmi can also play a role and in this case the patient did have a fall.Product history review: review of the device history records indicate the devices were manufactured and accepted into final stock on with no relevant reported discrepancies.-complaint history review: there have been no other similar events for the lot referenced.Conclusions: confirmation of event: i can confirm that the patient underwent implantation of a gmrs prosthesis with subsequent revision of the implant to correct a rotational deformity and instability since i was able to review the operation report.I can also confirm the other related operations mentioned above since i was able to review those operation reports as well.Root cause analysis: the root cause of this event cannot be determined with certainty.The causes of rotational deformity and instability of a gmrs implant are multifactorial.In this case trauma may well have played a role since the patient had a fall prior to revision surgery.Surgical technique factors contribute including the method of insertion and the final positioning, alignment and fixation.Patient factors including lifestyle, activity level and bmi can also play a role and in this case the patient did have a fall.No further investigation for this event is possible at this time.If devices and / or additional information become available to indicate further evaluation is warranted, this record will be reopened.
|