An event regarding wear were reported.The events was confirmed.Method and results: -device evaluation and results: visual inspection was performed as part of the material analysis report , it noted "the damage observed is consistent with in vivo service related damages from 13 years of use"."burnishing, scratching, third-body indentations, and delamination were observed on the articulating surface, which are consistent with commonly-identified damage modes in uhmwpe inserts.No material or manufacturing defects were observed on the device features examined".A review by a clinical consultant noted: "as such it appears very unlikely that device-related matters have contributed to the problem, as also supported by the mar findings but that bearing exchange was more dictated by procedure-related factors of access to the knee and not related to the actual failure mode of the knee.Details remain however obscure due to limited clinical information and absence of x-rays".Conclusions: "no material or manufacturing defects were observed on the device features examined" the exact cause of the event could not be determined because insufficient information was provided.Further information such as device details, operative reports, x-rays, patient history and follow-up notes are needed to investigate this event further.If additional information become available, this investigation will be reopened.
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