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Corrected data: date of implant.An event regarding crack/fracture involving a mrh femoral component was reported.The event was confirmed evaluation of the returned device.Method & results: product evaluation and results: visual inspection: visual inspection of the returned devices was performed as part of the material analysis: "the images depicted show the mrh knee femoral component, fluted stem, and femoral bushings with fracture of the femoral component highlighted with arrows.On visual examination, fracture of the lateral condyle of the femoral component was observed.Images of the fracture surface associated with the (a) mrh knee femoral component and (b) detached piece of the mrh knee femoral component, respectively.Explantation damage was observed on the mrh knee femoral component, adjacent to the fracture surface." material analysis: a material analysis was performed on the returned device which concluded the following: "review of the mrh knee femoral component, catalogue # 6481-1-110, lot code ee62h, fluted stem, catalogue # 6478-6-635, lot code 0066264, and mrhk femoral bushings, catalogue # 6481-2-110, lot code lhr619 confirmed fracture of the lateral condyle of the femoral component.Characterisation using visual, stereo microscope, and secondary electron imaging confirmed fracture of the femoral component in fatigue.No manufacturing or material related defects were observed on the device surfaces examined." clinician review: no medical records were received for review with a clinical consultant.Product history review: review of the product history records indicate the reported device was manufactured with no reported relevant discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: it was reported that the patient was revised due to fracture of the femoral component.A material analysis was performed on the returned device which concluded the following: "review of the mrh knee femoral component, catalogue # 6481-1-110, lot code ee62h, fluted stem, catalogue # 6478-6-635, lot code 0066264, and mrhk femoral bushings, catalogue # 6481-2-110, lot code lhr619 confirmed fracture of the lateral condyle of the femoral component.Characterisation using visual, stereo microscope, and secondary electron imaging confirmed fracture of the femoral component in fatigue.No manufacturing or material related defects were observed on the device surfaces examined." further information such as pre- and post-operative x-rays and the revision operative report 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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