MAUDE MDR 6330

MDR report key
6330
Report number
6330
Event key
0
Event type
3
Date of event
1993-06-28
Date received
1993-08-16
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1UNKNOWNTOTAL KNEE PROSTHESISUNKNOWNKMBUNKNOWNUNKNOWNUNKNOWNYN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11993-08-1601. O

Event Narratives#

D

Patient 1

PT ADMITTED WITH SEPTIC ARTHRITIS OF TOTAL KNEE REPLACEMENT HAD TKR IN 11/91 AT ANOTHER FACILITY. DEVELOPED SEPTIC JOINT DURING "WINTER" OF 1992 PER MD HISTORY. DIAGNOSIS OF SEPTIC KNEE MADE IN JAN 1993. OUT PT TREATMENT WITH IV ANTIBIOTICS AND DEBREIDEMENT OF JOINT AREA AT ANOTHER FACILITY IN FEB 1993. TREATMENT APPEARED SUCCESSFUL, THEN RECURRED INITIATING ADMISSION AT THIS FACILITY ON 6/28/93 FOR IV ANTIBIOTIC THERAPY AND EVALUATION. DEVICE CONTINUED IN PLACE NO LOOSENING OF JOINT NOTED.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED. DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, VISUAL EXAMINATION, OTHER. RESULTS OF EVALUATION: ANTICIPATED OR KNOWN, INHERENT RISK OF PROCEDURE. CONCLUSION: THERE WAS NO DEVICE FAILURE, NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NONE OR UNKNOWN. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.