FDA Adverse Event Injury Summary report: N

UNKNOWN NATURAL KNEE II FEMORAL COMPONENT

MDR report key: 10638121 · Received October 6, 2020

Report

Report Number
0001822565-2020-03454
Event Type
Injury
Date Received
October 6, 2020
Date of Event
September 8, 2020
Report Date
October 26, 2020
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
NI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. B3: EVENT DATE: 2004-2010. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE PERFORMED AS THE PART AND LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. ROOT CAUSE WAS UNABLE TO BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative · 1

(B)(4). PACORET V, KALK E, LABATTUT L, GIRARDOT G, BAULOT E & MARTZ P (2020) SURVIVAL RATE OF CEMENTED VERSUS CEMENTLESS TIBIAL COMPONENT IN PRIMARY TOTAL KNEE ARTHROPLASTY OVER 5 YEARS OF FOLLOW-UP: COMPARATIVE STUDY OF 109 PROSTHESES. SICOT-J 6, 36 HTTPS://DOI.ORG/10.1051/SICOTJ/2020028. DATE OF EVENT - THE ARTICLE WAS PUBLISHED ON SEP 8, 2020. CONCOMITANT DEVICES - UNKNOWN NATURAL KNEE II TIBIAL COMPONENT CATALOG #: NI LOT #: NI, UNKNOWN NATURAL KNEE II ARTICULAR SURFACE CATALOG #: NI LOT #: NI. REPORT SOURCE - FOREIGN: (B)(6). THE COMPLAINANT HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE DEVICE REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. INSUFFICIENT INFORMATION.

Description of Event or Problem · 1

IT IS REPORTED THAT ONE PATIENT EXPERIENCED PERIPROSTHETIC FRACTURE OF THE FEMUR FOLLOWING KNEE ARTHROPLASTY. ATTEMPTS HAVE BEEN MADE AND NO ADDITIONAL INFORMATION HAS BEEN PROVIDED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1098961 UNKNOWN NATURAL KNEE II FEMORAL COMPONENT PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Other SEE H10 NARRATIVE