FDA Adverse Event Malfunction Summary report: N

UNKNOWN KNEE FEMORAL

MDR report key: 9212563 · Received October 20, 2019

Report

Report Number
1818910-2019-110814
Event Type
Malfunction
Date Received
October 20, 2019
Date of Event
January 1, 2014
Report Date
October 10, 2019
Manufacturer
DEPUY ORTHOPAEDICS INC US
Product Code
JWH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY : NO DEVICE WAS RECEIVED. ROOT CAUSE UNDETERMINED. DEPUY SYNTHES CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION MAY BE RE-OPENED AS NECESSARY. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE. (B)(4).

Description of Event or Problem · 1

LITERATURE ARTICLE WAS RECEIVED ENTITLED "PATELLAR CLUNK SYNDROME IN FIXED-BEARING POSTERIOR-STABILISED VERSUS CRUCIATE-SUBSTITUTING PROSTHESES". LITERATURE ARTICLE "PATELLAR CLUNK SYNDROME IN FIXED-BEARING POSTERIOR-STABILISED VERSUS CRUCIATE-SUBSTITUTING PROSTHESES" (2014) BY YAN HO TANG, WING KEUNG WONG, AND HOK LEUNG WONG PUBLISHED BY JOURNAL OF ORTHOPAEDIC SURGERY WAS REVIEWED. THE ARTICLE PURPOSE: TO COMPARE THE OUTCOME OF FIXED-BEARING POSTERIOR-STABILISED VERSUS CRUCIATE-SUBSTITUTING PROSTHESES IN 46 PATIENTS WHO UNDERWENT PRIMARY BILATERAL TOTAL KNEE REPLACEMENT. THE ARTICLE REPORTS: AT ONE YEAR, THE MEAN FIXED FLEXION CONTRACTURE, MAXIMUM FLEXION, AND AMERICAN KNEE SOCIETY SCORES IN KNEES WITH PFC CS AND COMPETITOR PROSTHESES WERE COMPARABLE. THREE KNEES WITH THE PFC CS PROSTHESIS DEVELOPED THE PATELLAR CLUNK SYNDROME, COMPARED TO NONE WITH THE COMPETITOR PRODUCT. THE ONSET OF THE PATELLAR CLUNK SYNDROME WAS AROUND ONE YEAR AFTER SURGERY. ALL THREE PATIENTS WERE MANAGED CONSERVATIVELY. DESPITE THIS, THE AXIAL ALIGNMENT AND ROTATION OF THE FEMORAL AND TIBIAL COMPONENTS WERE GOOD. THE AUTHORS REPORT THAT BOTH OUR PFC SIGMA CS AND THE COMPETITOR PRODUCT BOTH PRODUCED GOOD CLINICAL OUTCOMES OVERALL. THE PATELLA WAS ROUTINELY RESURFACED AND CEMENT USAGE OR MANUFACTURER WERE NOT MENTIONED WITHIN THE ARTICLE. DEPUY PRODUCTS INVOLVED: PFC SIGMA CS. COMPLICATIONS: PATELLA CLUNK SYNDROME (3).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1006785 UNKNOWN KNEE FEMORAL KNEE FEMORAL JWH DEPUY ORTHOPAEDICS INC US NA

Patients

Seq Age Sex Outcome Treatment
1