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SMITH & NEPHEW, INC. GENESIS UNI FEMORAL LARGE; PROSTHESIS, KNEE, FEMOROTIBIAL, NON-CONSTRAINED, CEMENTED, METAL/POLYMER
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| Catalog Number |
725004 |
| Medical Device Problem Code |
Fracture (1260)
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| Health Effect - Clinical Code |
Insufficient Information (4580)
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Type of Reportable Event
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Serious Injury
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Additional Manufacturer Narrative
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Internal complaint reference: (b)(4).This complaint was opened by smith+nephew to document a patient complication related to a product problem with a smith+nephew device.The reported issue(s) relate to known risks with the device itself or with its use that are appropriately documented in our risk files.Smith+nephew will continue to monitor trends in accordance with our post-market surveillance process and take necessary action as required if anticipated severity and/or occurrence rates are exceeded.Smith+nephew has no reason to suspect that the product failed to meet any specifications at the time of manufacture.Based on our review of all currently available information, we are unable to identify a definitive root cause.However, as the use of our product cannot be excluded as a potential cause or contributory factor to the reported issue, we are submitting this report in accordance with applicable regulations.If additional investigative findings or information becomes available that alters the conclusions of this report, a follow-up report will be submitted as required.E1: the phone number was reported as (b)(6).
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Event or Problem Description
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It was reported that after a ukr had been performed on an unknown date, the blade of the genesis uni femoral large was broken.This adverse event was addressed by performing revision surgery on an unknown date.Patient's current health status is unknown.
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Additional Manufacturer Narrative
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(initial reporter also sent report to fda?) corrected to "no." additional information: d10 (concomitant medical products), h6 (type of investigation), h11 (roi).H3, h6: the device was not returned for evaluation; therefore, a device analysis could not be performed.A review of the production order did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.A review of complaint history for the part number over the past 12 months and for the batch number based on historical data of the device did not reveal similar events for the listed device.A review of the instructions for use documents for knee systems revealed in warnings and precautions that the implant can break or become damaged as a result of strenuous activity or trauma.A review of the risk management file revealed this failure mode was previously identified.The anticipated risk level is still adequate.A historical review concluded that there are no prior actions related to this product and event.According with material specification, the quality and manufacture of cobalt-chromium castings that can be further processed into surgical implants shall be controlled.The castings can be considered to be produced from a surgical grade cobalt-chromium alloy meeting the specifications.At this time, we have no evidence to conclude that the product failed to meet any specifications at the time of manufacture.Factors that could contribute to the reported event include size selected, postoperative care, patient anatomy, abnormal loading of limb, excessive forces and/or injury.Based on this investigation, the need for corrective action is not indicated.Should the device or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.
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