Reason/Issue |
It was identified that the metal retainer ring included in a batch of TANDEM INTL BIPOLAR 46OD 28ID was too big. This results in a reduced retention force of the Bipolar assembly.
In the worst-case scenario, the surgeon assembles the Bipolar assembly during surgery. Then based on the tolerance stack, there is likely interference between the Retainer Ring and the Lock Ring that holds the assembly together, although the interference and associated retention force of the assembly would be less than the design intent. The surgeon doesn’t notice the reduced retention force of the ring in the shell, and the device is implanted. The patient is mobile and active, pushing the implant into eccentric loading and the implant disassociates during use. This results in a loss of function of the joint, pain, instability and impingement with loose bodies in the joint resulting in revision surgery. |