FDA Adverse Event Injury Summary report: N

QUANTUM

MDR report key: 17797813 · Received September 22, 2023

Report

Report Number
3010470577-2022-09041
Event Type
Injury
Date Received
September 22, 2023
Date of Event
September 3, 2022
Report Date
September 22, 2023
Manufacturer
IN2BONES SAS
Product Code
HSN
PMA / PMN Number
K191380
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATIONS ARE IN PROGRESS. A COMPLETE AND FINAL MDR REPORT WILL BE SUBMITTED WHEN ALL INVESTIGATIONS ARE PERFORMED.

Description of Event or Problem · 0

THE QUANTUM® TOTAL ANKLE PROSTHESIS IS INDICATED AS A TOTAL ANKLE REPLACEMENT IN PRIMARY OR REVISION SURGERY FOR PATIENTS WITH ANKLE JOINTS DAMAGED BY SEVERE RHEUMATOID, POST-TRAUMATIC, OR DEGENERATIVE ARTHRITIS. THE QUANTUM® TOTAL ANKLE PROSTHESIS IS A FIXED-BEARING, SEMI-CONSTRAINT ANKLE PROTHESIS WITH 2 COMPONENTS AND COMPOSED OF: - A TIBIAL COMPONENT COMPOSED OF A METALLIC (TA6V) TIBIAL TRAY IMPLANT FIXED TO A POLYMER (UHWMPE) INSERT, - A METALLIC (COCR) TALAR IMPLANT REPRODUCING THE TALUS DOME ANATOMY. WHEN ALL COMPONENTS ARE IMPLANTED, WITH THE INSERT RIGIDLY LOCKED TO THE TIBIAL TRAY, THE POLYETHYLENE INSERT ACTS AS A SINGLE BEARING ALONG THE TALAR DOME, ENABLING FLEXION/EXTENSION AND ROTATION MOVEMENT AT THE REPLACED ANKLE JOINT. EACH COMPONENT OF THE QUANTUM® TOTAL ANKLE PROSTHESIS EXISTS IN DIFFERENT SIZES AND MODELS. EVENT DESCRIPTION : - INITIAL INFORMATION REPORTED BY THE SURGEON ON (B)(6) 2022: THE PATIENT WAS REVIEWED AT HIS/HER 4 MONTHS POSTOPERATIVE FOLLOW-UP. A TILT OF THE TIBIAL COMPONENT OF THE QUANTUM PROSTHESIS WAS IDENTIFIED IN REGARDS TO THE IMMEDIATE POSTOPERATIVE RESULTS, CREATING A VARUS ANGLE (DISPLACEMENT OF THE TIBIAL COMPONENT PLACEMENT BETWEEN THE IMMEDIATE RESULTS AND THE 4 MONTHS RESULTS). HOWEVER, AND AS REPORTED BY THE INITIATOR, THE PATIENT FUNCTIONAL RESULTS AND PAIN LEVELS WERE DEEMED ACCEPTABLE. - ADDITIONAL INFORMATION REPORTED BY THE SURGEON ON (B)(6) 2022: THE PATIENT WAS REVIEWED 3 TIMES BETWEEN (B)(6) AND HAS AN AGGRAVATION OF HIS/HER PAIN LEVEL DESPITE AN INFILTRATION. - ADDITIONAL INFORMATION REPORTED BY THE SURGEON: THIS PATIENT WAS REVISED ON (B)(6) 2023: THE QUANTUM PROSTHESIS WAS REMOVED AND REPLACED BY A COMPETITOR PROSTHESIS WITH CEMENT.

Description of Event or Problem · 0

THE QUANTUM® TOTAL ANKLE PROSTHESIS IS INDICATED AS A TOTAL ANKLE REPLACEMENT IN PRIMARY OR REVISION SURGERY FOR PATIENTS WITH ANKLE JOINTS DAMAGED BY SEVERE RHEUMATOID, POST-TRAUMATIC, OR DEGENERATIVE ARTHRITIS. THE QUANTUM® TOTAL ANKLE PROSTHESIS IS A FIXED-BEARING, SEMI-CONSTRAINT ANKLE PROTHESIS WITH 2 COMPONENTS AND COMPOSED OF: A TIBIAL COMPONENT COMPOSED OF A METALLIC (TA6V) TIBIAL TRAY IMPLANT FIXED TO A POLYMER (UHWMPE) INSERT; A METALLIC (COCR) TALAR IMPLANT REPRODUCING THE TALUS DOME ANATOMY. WHEN ALL COMPONENTS ARE IMPLANTED, WITH THE INSERT RIGIDLY LOCKED TO THE TIBIAL TRAY, THE POLYETHYLENE INSERT ACTS AS A SINGLE BEARING ALONG THE TALAR DOME, ENABLING FLEXION/EXTENSION AND ROTATION MOVEMENT AT THE REPLACED ANKLE JOINT. EACH COMPONENT OF THE QUANTUM® TOTAL ANKLE PROSTHESIS EXISTS IN DIFFERENT SIZES AND MODELS. EVENT DESCRIPTION : INITIAL INFORMATION REPORTED BY THE SURGEON ON (B)(6) 2022: THE PATIENT WAS REVIEWED AT HIS/HER 4 MONTHS POSTOPERATIVE FOLLOW-UP. A TILT OF THE TIBIAL COMPONENT OF THE QUANTUM PROSTHESIS WAS IDENTIFIED IN REGARDS TO THE IMMEDIATE POSTOPERATIVE RESULTS, CREATING A VARUS ANGLE (DISPLACEMENT OF THE TIBIAL COMPONENT PLACEMENT BETWEEN THE IMMEDIATE RESULTS AND THE 4 MONTHS RESULTS). HOWEVER, AND AS REPORTED BY THE INITIATOR, THE PATIENT FUNCTIONAL RESULTS AND PAIN LEVELS WERE DEEMED ACCEPTABLE. ADDITIONAL INFORMATION REPORTED BY THE SURGEON ON DECEMBER 12TH, 2022: THE PATIENT WAS REVIEWED 3 TIMES BETWEEN (B)(6) AND (B)(6) AND HAS AN AGGRAVATION OF HIS/HER PAIN LEVEL DESPITE AN INFILTRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
200857 QUANTUM QUANTUM® TIBIAL IMPLANT HSN IN2BONES SAS M50 ST250 1906284

Patients

Seq Age Sex Outcome Treatment
1 Unknown Life Threatening| S