BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN ZIMMER LPS-FLEX ARTICULAR SURFACE

    MDR report key: 1132091 · Received August 21, 2008

    Report

    Report Number
    1822565-2008-00540
    Event Type
    Injury
    Date Received
    August 21, 2008
    Date of Event
    July 31, 2008
    Report Date
    July 31, 2008
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    WE COULD NOT OBTAIN A COMPLETE CATALOG NUMBER; THEREFORE A BASELINE REPORT CANNOT BE FILED. EVAL SUMMARY: THE CAUSE OF THE POLY DISLOCATION COULD NOT BE DETERMINED DUE TO INSUFFICIENT INFO, HOWEVER, THE PT'S FALL COULD BE A CONTRIBUTING FACTOR. EVAL: NO PROD WAS RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS WAS ALSO NOT POSSIBLE AS THE PROD AND/OR LOT NUMBERS REQUIRED FOR RETRIEVAL WERE UNAVAILABLE. IT IS NOT SUSPECTED THAT THE PROD FAILED TO MEET SPECS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PROD CONTRIBUTION TO THE REPORTED PROBLEM. BASED ON THE AVAILABLE INFO, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. SHOULD ADD'L SUBSTANTIVE INFO BE REC'D, THE COMPLAINT WILL BE REOPENED. ZIMMER CONSIDERS THE INVESTIGATION CLOSED.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE PT FELL. UPON X-RAY REVIEW BY THE SURGEON, IT WAS NOTICED THAT THE ARTICULAR SURFACE APPEARED TO BE DISLOCATED. THE PT WAS SCHEDULED TO BE REVISED IN 2008.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN ZIMMER LPS-FLEX ARTICULAR SURFACE KNEE PROSTHESIS JWH ZIMMER, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R