FDA Adverse Event Malfunction Summary report: N

PROPHECY INFINITY EU PATIENT SPECIFIC GUIDES

MDR report key: 15911553 · Received December 2, 2022

Report

Report Number
3010667733-2022-00425
Event Type
Malfunction
Date Received
December 2, 2022
Date of Event
November 2, 2022
Report Date
June 28, 2023
Manufacturer
WRIGHT MEDICAL TECHNOLOGY INC
Product Code
HSN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE EVENT INVOLVES A DEVICE THAT IS NOT CLEARED FOR SALE IN THE U.S., BUT A SIMILAR DEVICE IS COMMERCIALLY AVAILABLE CLEARED 510K # K131283. ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 0

THE REPORTED EVENT COULD NOT BE CONFIRMED SINCE THE DEVICE WAS NOT RETURNED FOR EVALUATION AND NO OTHER EVIDENCES WERE PROVIDED. AN INDEPENDENT INVESTIGATION WAS CONDUCTED BY THE PROPHECY TEAM AND THE FOLLOWING WERE NOTED: THE CT SCAN WAS PROCESSED WITHIN NORMAL, ACCEPTABLE RANGES. NO ERRORS WERE IDENTIFIED DURING THE SEGMENTATION PROCEDURE. THE ALIGNMENT GUIDES WERE DESIGNED WITHIN NORMAL, ACCEPTABLE RANGES. NO ABNORMALITIES IN THE INTERNAL PROCESS WERE FOUND. THE ENGINEERING DRAWINGS AND QUALITY DOCUMENTS WERE PROCESSED WITHIN NORMAL, ACCEPTABLE RANGES. NO ABNORMALITIES IN THE INTERNAL PROCESS WERE FOUND. NO ROOT CAUSE IDENTIFIED: IT WAS NOT POSSIBLE TO IDENTIFY WHAT CAUSED THE PROPHECY GUIDE INACCURACY MENTIONED IN THE COMPLAINT¿S EMAIL. A POTENTIAL ROOT CAUSE MAY BE A DISCREPANCY IN USER EXPECTATIONS VS GUIDE FIT AND FEEL DURING SURGERY OR USER ERROR DURING SURGERY. MORE DETAILED INFORMATION ABOUT THE COMPLAINT EVENT AS WELL AS THE AFFECTED DEVICE MUST BE AVAILABLE IN ORDER TO DETERMINE THE ROOT CAUSE OF THE COMPLAINT EVENT. A REVIEW OF THE DEVICE HISTORY FOR THE REPORTED LOT DID NOT INDICATE ANY ABNORMALITIES. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. A REVIEW OF THE LABELING DID NOT INDICATE ANY ABNORMALITIES. NO INDICATIONS OF MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE FOUND DURING THE INVESTIGATION. IF THE DEVICE IS RETURNED OR IF ANY ADDITIONAL INFORMATION IS PROVIDED, THE INVESTIGATION WILL BE REASSESSED. H3 OTHER TEXT : DEVICE DISPOSITION UNKNOWN.

Additional Manufacturer Narrative · 0

CORRECTION - D9 / H3 (PRODUCT AVAILABLE TO STRYKER), H3 (DEVICE EVALUATED BY MFG), H6 (METHOD CODE 2 AND 3, RESULTS CODE, CONCLUSION CODE) THE REPORTED EVENT COULD NOT BE CONFIRMED SINCE THE RETURNED PROPHECY GUIDES ARE CONFORMING TO SPECIFICATIONS AND FULLY FUNCTIONAL. THE DEVICE INSPECTION REVEALED THE FOLLOWING: NO VISIBLE DAMAGES COULD BE FOUND AROUND THE TALUS AND TIBIAL GUIDE AND BONE MODEL. KEY DIMENSIONAL MEASUREMENTS FOR THE LENGTH, WIDTH AND HEIGHT OF THE TALUS AND TIBIAL GUIDE WERE TAKEN WITH A DIGITAL CALIPER AND FOUND TO BE WITHIN DIMENSIONAL SPECIFICATIONS. THE HOLES OF THE TALUS AND TIBIAL GUIDE WERE MEASURED TO BE 0.0975 IN. A GAGE PIN WAS USED TO VERIFY THE DIMENSIONS OF THE HOLES FOR THE TALUS AND TIBIAL GUIDE. THE GAGE PIN WAS ABLE TO PASS THROUGH THE HOLES CONFIRMING THE GUIDES WERE MANUFACTURED TO SPECIFICATION. BOTH THE TALUS AND TIBIAL GUIDE WERE ABLE TO BE POSITIONED CORRECTLY ON THEIR RESPECTIVE BONE MODELS. AN INVESTIGATION WAS CONDUCTED BY THE PROPHECY TEAM AND THE FOLLOWING WERE NOTED: ¿ THE CT SCAN WAS PROCESSED WITHIN NORMAL, ACCEPTABLE RANGES. NO ERRORS WERE IDENTIFIED DURING THE SEGMENTATION PROCEDURE. THE ALIGNMENT GUIDES WERE DESIGNED WITHIN NORMAL, ACCEPTABLE RANGES. NO ABNORMALITIES IN THE INTERNAL PROCESS WERE FOUND. THE ENGINEERING DRAWINGS AND QUALITY DOCUMENTS WERE PROCESSED WITHIN NORMAL, ACCEPTABLE RANGES. NO ABNORMALITIES IN THE INTERNAL PROCESS WERE FOUND. NO ROOT CAUSE IDENTIFIED: IT WAS NOT POSSIBLE TO IDENTIFY WHAT CAUSED THE PROPHECY GUIDE INACCURACY MENTIONED IN THE COMPLAINT¿S EMAIL. A POTENTIAL ROOT CAUSE MAY BE A DISCREPANCY IN USER EXPECTATIONS VS GUIDE FIT AND FEEL DURING SURGERY OR USER ERROR DURING SURGERY. MORE DETAILED INFORMATION ABOUT THE COMPLAINT EVENT AS WELL AS THE AFFECTED DEVICE MUST BE AVAILABLE IN ORDER TO DETERMINE THE ROOT CAUSE OF THE COMPLAINT EVENT. A REVIEW OF THE DEVICE HISTORY FOR THE REPORTED LOT DID NOT INDICATE ANY ABNORMALITIES. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. A REVIEW OF THE LABELING DID NOT INDICATE ANY ABNORMALITIES. NO INDICATIONS OF MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE FOUND DURING THE INVESTIGATION. IF MORE INFORMATION IS PROVIDED, THE CASE WILL BE REASSESSED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROPHECY GUIDE WAS NOT ACCURATE AND COULD NOT BE USED. THE OPERATION COULD BE PERFORMED CONVENTIONALLY. ADDITIONALLY, IT WAS REPORTED; THE PROCEDURE WAS EXTENDED HOWEVER THE LENGTH OF THE EXTENSION IS UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROPHECY GUIDE WAS NOT ACCURATE AND COULD NOT BE USED. THE OPERATION COULD BE PERFORMED CONVENTIONALLY. ADDITIONALLY, IT WAS REPORTED; THE PROCEDURE WAS EXTENDED HOWEVER THE LENGTH OF THE EXTENSION IS UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROPHECY GUIDE WAS NOT ACCURATE AND COULD NOT BE USED. THE OPERATION COULD BE PERFORMED CONVENTIONALLY. ADDITIONALLY, IT WAS REPORTED; THE PROCEDURE WAS EXTENDED HOWEVER THE LENGTH OF THE EXTENSION IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2536332 PROPHECY INFINITY EU PATIENT SPECIFIC GUIDES PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER HSN WRIGHT MEDICAL TECHNOLOGY INC 1743098

Patients

Seq Age Sex Outcome Treatment
1 Male