HEMICAP PATELLO-FEMORAL RESURFACING PROSTHESIS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2017-08-18 for HEMICAP PATELLO-FEMORAL RESURFACING PROSTHESIS manufactured by Arthrosurface, Inc..

Event Text Entries

[83012461] The radiographs provided by the patient were reviewed by arthrosurface ceo and head of engineering and vp - clinical affairs who concluded that the taper post component is placed too deep in the bone which resulted in poor fixation of both the components. It is possible that the operating surgeon may not have used a taper depth gauge for placement of the screw. The patient is currently seeking opinion on further treatment options for which arthrosurface has responded to.
Patient Sequence No: 1, Text Type: N, H10


[83012462] The patient reached out to arthrosurface via website to report pain in his left knee. He received a pfxl hemicap 1 year ago, and since has not received pain relief. Following an arthroscopy procedure recently, his surgeon removed scar/ inflammatory tissue in the knee which reduced inflammation but not pain. This information was forwarded to arthrosurface vp - clinical affairs, for review. The patient was advised to consult his treating surgeon or to obtain a second opinion regarding his on-going issues. The patient obtained second opinion from 2 other doctors and was told that his hemicap is loose.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004154314-2017-00009
MDR Report Key6803566
Report SourceCONSUMER
Date Received2017-08-18
Date of Report2017-07-26
Date Mfgr Received2017-07-26
Date Added to Maude2017-08-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. PHANI PUPPALA
Manufacturer Street28 FORGE PARKWAY
Manufacturer CityFRANKLIN MA 02038
Manufacturer CountryUS
Manufacturer Postal02038
Manufacturer Phone5085203003
Manufacturer G1PRIMO MEDICAL GROUP
Manufacturer Street75 MILL ST.
Manufacturer CitySTOUGHTON MA 02072
Manufacturer CountryUS
Manufacturer Postal Code02072
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEMICAP PATELLO-FEMORAL RESURFACING PROSTHESIS
Generic NameKNEE JOINT PATELLO-FEMORAL RESURFACING PROSTHESIS
Product CodeKRR
Date Received2017-08-18
OperatorPHYSICIAN
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerARTHROSURFACE, INC.
Manufacturer Address28 FORGE PARKWAY FRANKLIN MA 02038 US 02038


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-08-18

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