MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2012-06-14 for VANGUARD PS OPEN BOX FEMORAL 62.5MM RIGHT-INTERLOK N/A 183106 manufactured by Biomet Orthopedics.
[2766883]
It was reported patient underwent total knee arthroplasty (b)(6) 2009. A subsequent revision was performed (b)(6) 2012 due to pain, tibial lucency and metallosis. The femoral and bearing were removed and replaced.
Patient Sequence No: 1, Text Type: D, B5
[9922739]
The user facility is outside of the united states. No medwatch report was received. Current information is insufficient to permit a conclusion as to the cause of the event. Review of device history records show that lot released with no recorded anomaly or deviation. There are warnings in the package insert that state that this type of event can occur. Listed under possible adverse effects: "material sensitivity reactions. " and "interoperative or postoperative bone fracture and/or postoperative pain. " evaluation in process, but not yet complete. Upon completion of evaluation, a follow up report will be sent to the fda. The tibial tray was also removed and reported to biomet (b)(4). This report is number 1 of 2 mdrs filed for the same event (reference 1825034-2012-00836 / 00837).
Patient Sequence No: 1, Text Type: N, H10
[10018566]
Review of explanted device found a significant amount of scratches on the condyles of the femoral component. These scratches are consistent with damage caused by third body wear particles in the joint space. Root cause could not be determined.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 0001825034-2012-00836 |
| MDR Report Key | 2616856 |
| Report Source | 07 |
| Date Received | 2012-06-14 |
| Date of Report | 2012-05-18 |
| Date of Event | 2012-04-22 |
| Date Mfgr Received | 2012-05-18 |
| Device Manufacturer Date | 2009-01-26 |
| Date Added to Maude | 2012-06-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | MS. ANGELA DICKSON |
| Manufacturer Street | 56 EAST BELL DRIVE |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal | 46582 |
| Manufacturer Phone | 5742676639 |
| Manufacturer G1 | BIOMET ORTHOPEDICS |
| Manufacturer Street | 56 EAST BELL DRIVE |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 46582 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | N/A |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VANGUARD PS OPEN BOX FEMORAL 62.5MM RIGHT-INTERLOK |
| Generic Name | PROSTHESIS, KNEE |
| Product Code | BSN |
| Date Received | 2012-06-14 |
| Returned To Mfg | 2012-05-31 |
| Model Number | N/A |
| Catalog Number | 183106 |
| Lot Number | 057410 |
| ID Number | N/A |
| Operator | PHYSICIAN |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BIOMET ORTHOPEDICS |
| Manufacturer Address | 56 EAST BELL DRIVE WARSAW IN 46582 US 46582 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2012-06-14 |