Catalog Number 61910002 |
Device Problem
Use of Device Problem (1670)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 06/26/2019 |
Event Type
malfunction
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Manufacturer Narrative
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Review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.There have been no other similar events for the lot referenced.It was noted that the device is not available for evaluation.Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.Device not returned.
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Event Description
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It was reported that when the cement was mixed, it was harden earlier than usual during tka surgery.Therefore the cement was changed the new same one and the operation was continued.Cement was keep in a refrigerator in hospital from one day before the operation and it was removed from the refrigerator 10 minutes before use.
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Manufacturer Narrative
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An event regarding (fast) setting time of the bone cement mix involving simplex p cement was reported.The event was not confirmed.Method & results: device evaluation and results: visual inspection and functional testing was completed on the three retained samples tested from the reported lot.The results were satisfactory and within specification.Medical records received and evaluation: not performed as no medical records were provided.Device history review: indicated that all product was manufactured and accepted into final stock with no reported discrepancies.Complaint history review: there have been no other similar events for the reported lot.Conclusions: the investigation concluded that the reported setting time issue cannot be duplicated.The mixing properties of the retained samples of the reported lot code were tested and show that all required specifications are met.The mixing characteristics and working properties of surgical simplex bone cements are influenced primarily by the temperature of the liquid and powder components at the time of mixing and by the temperatures of the utensils with which it contacts during mixing e.G.Mixing bowls, cement introducers etc.Generally, higher temperatures accelerate the polymerization reaction and lower temperatures delay it.Other factors which can affect setting time are mixing technique (speed, use of vacuum, centrifugation), thoroughness of mixing, complete utilization of all of the powder & liquid and care to avoid inclusion of any extraneous material such as blood or sterilization solutions into the mix.Mixing process/technique issues are highlighted in the ifu.Based on the laboratory results of the retain samples it is not possible to replicate this event.No further investigation for this event is possible at this time.If additional information becomes available this investigation will be reopened.
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Event Description
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It was reported that when the cement was mixed, it was harden earlier than usual during tka surgery.Therefore the cement was changed the new same one and the operation was continued.Cement was keep in a refrigerator in hospital from one day before the operation and it was removed from the refrigerator 10 minutes before use.
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Search Alerts/Recalls
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