title: Revision total hip and knee arthroplasty implant identification: implications for use of Unique Device Identification 2012 AAHKS member survey results.
abstract: FDA's Unique Device Identification (UDI) Rule will mandate manufacturers to assign unique identifiers to their marketed devices. UDI use is expected to improve implant documentation and identification. A 2012 American Association of Hip and Knee Surgeons membership survey explored revision total hip and knee arthroplasty implant identification processes. 87% of surgeons reported regularly using at least 3 methods to identify failed implants pre-operatively. Median surgeon identification time was 20 min; median staff time was 30 min. 10% of implants could not be identified pre-operatively. 2% could not be identified intra-operatively. UDI in TJA registry and UDI in EMR were indicated practices to best support implant identification and save time. FDA's UDI rule sets the foundation for UDI use in patient care settings as standard practice for implant documentation.
authors.affiliation: Department of Supply Chain Management, WP Carey School of Business, Arizona State University, Tempe, Arizona.
authors.forename: Natalia A
authors.initials: NA
authors.lastname: Wilson
authors.affiliation: School of Human Evolution and Social Change, Arizona State University, Tempe, Arizona.
authors.forename: Megan
authors.initials: M
authors.lastname: Jehn
authors.affiliation: University of Washington Tacoma Nursing Program, Tacoma, Washington.
authors.forename: Sally
authors.initials: S
authors.lastname: York
authors.affiliation: Penn State College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
authors.forename: Charles M
authors.initials: CM
authors.lastname: Davis
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation*; D006622:Hip Prosthesis / Q000592:standards*; D006801:Humans; D007720:Knee Prosthesis / Q000592:standards*; D057052:Medical Device Recalls; D008499:Medical Records / Q000331:legislation & jurisprudence / Q000592:standards*; D011356:Product Labeling / Q000331:legislation & jurisprudence; D011475:Prosthesis Failure; D012042:Registries; D012086:Reoperation; D014481:United States; D014486:United States Food and Drug Administration
keywords: implant identification; revision total hip and knee arthroplasty; unique device identification