FDA Adverse Event Injury Summary report: N

PROSTHESIS, ELBOW, HEMI-RADIAL, POLYMER

MDR report key: 6171115 · Received December 13, 2016

Report

Report Number
2520274-2016-15672
Event Type
Injury
Date Received
December 13, 2016
Report Date
November 22, 2016
Manufacturer
SYNTHES USA
Product Code
KWI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. ADDITIONAL NARRATIVE: (B)(4). THIS REPORT IS FOR AN UNKNOWN RADIAL HEAD PROSTHESIS/ UNKNOWN QUANTITY/ UNKNOWN LOT. UNKNOWN PART NUMBER, UDI UNAVAILABLE. THE INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN, AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. CORRECTED DATE RECEIVED BY MFR DATE FROM 13-JAN-2017 TO 06-JAN-2017. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

(B)(4). RADIAL HEAD ARTHROPLASTY IS A COMMON TREATMENT FOR COMMINUTED RADIAL HEAD AND RADIAL NECK FRACTURES THAT ARE NOT AMENABLE TO REDUCTION AND FIXATION. REPORTED OUTCOMES HAVE BEEN SATISFACTORY WITH A COMMON COMPLICATION BEING LOOSENING OF THE PROSTHESIS. THE PURPOSE OF THIS STUDY IS TO REVIEW THE RADIOGRAPHIC OUTCOMES OF ALL RADICAL HEAD PROSTHESIS PLACED AT ONE LEVEL 1 TRAUMA CENTER AND TO COMPARE THE RATE OF PERIPROSTHETIC LUCENCY, OSTEOLYSIS, PERIOSTEAL REACTION, AND THE NEED FOR REOPERATION BETWEEN TWO IMPLANTS. THE STUDY INVOLVES A RETROSPECTIVE REVIEW OF ALL PATIENTS WHO RECEIVED A RADIAL HEAD ARTHROPLASTY FOR FRACTURE OF THE RADIAL HEAD OR RADIAL NECK FROM (B)(6) 2010 TO (B)(6) 2015. 40 PRESS-FIT RADIAL HEAD PROSTHESIS WERE IMPLANTED INTO 39 PATIENTS. FOURTEEN ELBOWS IN 14 PATIENTS RECEIVED THE SYNTHES RADIAL HEAD PROSTHESIS, AND 26 ELBOWS IN 25 PATIENTS RECEIVED THE COMPETITOR PRODUCT. THE RATE OF OSTEOLYSIS WAS 64% IN THE SYNTHES IMPLANT. THIS MET STATISTICAL SIGNIFICANCE (P=0.0004). THERE WERE 4 REOPERATIONS IN THE PATIENT WHO RECEIVED THE SYNTHES IMPLANT. ALL REOPERATIONS INVOLVED REMOVAL OF THE PROSTHESIS. ONE PATIENT WITH THE SYNTHES IMPLANT WENT ON TOTAL ELBOW ARTHROPLASTY. THIS REPORT IS FOR 1 OF 2 FOR (B)(4). THIS REPORT IS FOR AN UNKNOWN RADIAL HEAD PROSTHESIS. THIS REPORT IS FOR AN UNKNOWN PATIENT WHO EXPERIENCED LOOSENING OF THE PROSTHESIS, THREE UNKNOWN PATIENTS WITH REMOVAL OF RADIAL HEAD PROSTHESIS, AND ONE PATIENT WITH TOTAL ELBOW ARTHROPLASTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
822618 PROSTHESIS, ELBOW, HEMI-RADIAL, POLYMER KWI SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention