FDA Adverse Event Injury Summary report: N

FEMORAL IMPACTOR

MDR report key: 4152602 · Received October 2, 2014

Report

Report Number
MW5038497
Event Type
Injury
Date Received
October 2, 2014
Date of Event
June 3, 2014
Report Date
October 2, 2014
Manufacturer
DEPUY SYNTHES
Product Code
LXH
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NH, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

IN REVIEWING A SERIES OF JOINT INFECTIONS THAT APPEARED TO BE CLUSTERED TOGETHER, WE DETERMINED THAT ONE LINK FOR ALL OF THESE SURGICAL PROCEDURES WAS THIS DEVICE. THE MANUFACTURER WAS CONTACTED, AND WE DETERMINED THAT WE WERE CLEANING AND PROCESSING THIS DEVICE ACCORDING TO THE MANUFACTURER'S RECOMMENDED PROCEDURE. OUR STERILE PROCESSING STAFF NOTICED THE DEVICE HAD A SCREWS THAT COULD BE REMOVED, HOWEVER, WE WERE TOLD THAT THEY DID NOT NEED TO BE REMOVED. WE REMOVED THE SCREWS AND FOUND BIO-BURDEN IN THE DEVICE. THIS WAS AGAIN SHARED WITH THE MANUFACTURER WHO SAID THERE WAS NO WAY FOR THIS TO GET OUT OF THE DEVICE. WE HAVE STOPPED USING THIS DEVICE AT OUR FACILITY. WE FEEL THIS DEVICE MAY HAVE BEEN A CAUSATIVE FACTOR IN THE JOINT INFECTIONS, HOWEVER, ARE UNABLE TO MAKE A DIRECT LINK. SAME REPORTER AS MW5038492, MW5038493, MW5038494, MW5038495, MW5038496.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
613987 FEMORAL IMPACTOR FEMORAL IMPACTOR LXH DEPUY SYNTHES
613988 TIBIAL TRAY TIBIAL TRAY JWH DEPUY SYNTHES
614116 DEPUY SYNTHES UNIVERSAL HANDLE UNIVERSAL HANDLE LXH DEPUY SYNTHES

Patients

Seq Age Sex Outcome Treatment
1 66 YR Required Intervention