FDA Adverse Event Injury Summary report: N

MILLER-GALANTE TOTAL KNEE

MDR report key: 1145 · Received August 24, 1992

Report

Report Number
32821-1992-00002
Event Type
Injury
Date Received
August 24, 1992
Date of Event
August 6, 1992
Report Date
August 11, 1992
Manufacturer
ZIMMER, INC.
Product Code
KRQ
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
VA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

PATIENT HAD INDICATION OF PAIN AND SOME INSTABILITY. CHIPS OF ARTICULATING SURFACE WERE FOUND IN KNEE JOINT. ONLY ARTICULATING SURFACE WAS REPLACED IN THE SURGERY WITH THE SUBSTITUTE. THE REMAINDER OF THE IMPLANTS WERE LEFT UNTOUCHED IN THE PATIENTDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: FAIR CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MILLER-GALANTE TOTAL KNEE Implant M/G I KRQ ZIMMER, INC. 63374100

Patients

Seq Age Sex Outcome Treatment
1 72 YR Required Intervention