FDA Adverse Event Other Summary report: N

NAVIGATION SOFTWARE 1.6.3 SMITH & NEPHEW

MDR report key: 2170111 · Received June 20, 2011

Report

Report Number
8043933-2011-00009
Event Type
Other
Date Received
June 20, 2011
Date of Event
May 2, 2011
Report Date
May 18, 2011
Manufacturer
BRAINLAB AG
Product Code
HAW
PMA / PMN Number
K021306
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ALTHOUGH THERE IS NO INDICATION OF A MALFUNCTION OR A QUALITY OR PERFORMANCE ISSUE WITH THE BRAINLAB DEVICE. ALTHOUGH THERE HAS BEEN NO PT INJURY REPORTED AT THIS HOSPITAL NOR REPORTED BY ANY OTHER HOSPITAL. A RISK TO THIS PATIENT'S HEALTH COULD NOT BE EXCLUDED FOR THIS ISOLATED CASE DUE TO THE LESS THAN OPTIMAL IMPLANTATION OF THE KNEE IMPLANT, AS LONGEVITY OF THE IMPLANT MAY POSSIBLY BE REDUCED. THERE IS NO INDICATION OF A MALFUNCTION OR A QUALITY OR PERFORMANCE ISSUE WITH THE BRAINLAB DEVICE. THIS USER HAS EXPERIENCED WITH THE BRAINLAB DEVICE, AND USES THE BRAINLAB DEVICE REGULARLY SUCCESSFULLY FOR THE SAME KIND OF SURGERY. THERE ARE NO CORRECTIVE AND PREVENTIVE ACTIONS INTENDED BY BRAINLAB REGARDING THIS ISOLATED CASE AT THIS POINT OF TIME.

Description of Event or Problem · 1

FOLLOWING TOTAL KNEE REPLACEMENT SURGERY SUPPORTED BY THE BRAINLAB NAVIGATION SYSTEM, THE SURGEON DETERMINED WITH A POST-OPERATIVE X-RAY THAT THE POSITION OF THE IMPLANTED SMITH & NEPHEW GENESIS II KNEE PROSTHESIS WAS NOT OPTIMAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NAVIGATION SOFTWARE 1.6.3 SMITH & NEPHEW IMAGE GUIDED SURGERY SYSTEM, CAS HAW BRAINLAB AG 22086-05F

Patients

Seq Age Sex Outcome Treatment
1 Other