MCK TIBIAL BASEPLATE-LM/RL-SZ 5 180605

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2020-03-05 for MCK TIBIAL BASEPLATE-LM/RL-SZ 5 180605 manufactured by Mako Surgical Corp..

Event Text Entries

[182780092] An event regarding pain involving a mako baseplate was reported. The event was not confirmed. Method & results product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device remained implanted. Medical records received and evaluation: a review of the provided medical records by a clinical consultant stated the following comment: cannot confirm event, need additional information; primary and revision operative reports, clinical and past medical history, additional serial dated x-rays and examination of explanted components. Product history review: a review of the device manufacturing records indicate that all devices accepted into final stock were free from discrepancies. Complaint history review: there have been no other similar events for the lot referenced. Conclusions: the exact cause of the event could not be determined because insufficient information was provided. Further information such as primary operative reports, clinical and past medical history, additional serial dated x-rays and examination of explanted components are needed to complete the investigation for determining root cause. No further investigation for this event is possible at this time. If devices and / or additional information become available to indicate further evaluation is warranted, this record will be reopened.
Patient Sequence No: 1, Text Type: N, H10


[182780093] This pi is for the implants for patient 1 of 3. (b)(6) yo male, surgery (b)(6) 2019. As reported by surgeon: attached are xrays of three patients i previously discussed. All have concerning radiolucencies underneath the tibial baseplate that appeared several months post op. Thus far, none have required revision but all have some degree of pain (mostly medial). Again i never saw this prior the mics transition. Let me know your thoughts and if any other surgeons have seen this issue. More recently, i have been using a 2mm drill to perforate the sclerotic tibial surface to promote better cement interdigitation and my results seem to be much better. Case type: pka 3. 0.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005985723-2020-00142
MDR Report Key9794144
Report SourceHEALTH PROFESSIONAL,OTHER
Date Received2020-03-05
Date of Report2020-03-05
Date of Event2020-02-06
Date Mfgr Received2020-02-06
Date Added to Maude2020-03-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. COLLIN NEITZEL
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1MAKO SURGICAL CORP.
Manufacturer Street2555 DAVIE ROAD
Manufacturer CityFORT LAUDERDALE FL 33317
Manufacturer CountryUS
Manufacturer Postal Code33317
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMCK TIBIAL BASEPLATE-LM/RL-SZ 5
Generic NamePROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLY
Product CodeNPJ
Date Received2020-03-05
Model Number180605
Catalog Number180605
Lot Number26431017-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMAKO SURGICAL CORP.
Manufacturer Address2555 DAVIE ROAD FORT LAUDERDALE FL 33317 US 33317


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-05

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