FDA Adverse Event Injury Summary report: N

SERIES A PAT STD 31 3 PEG

MDR report key: 12216720 · Received July 23, 2021

Report

Report Number
0001825034-2021-02140
Event Type
Injury
Date Received
July 23, 2021
Date of Event
June 30, 2021
Report Date
February 2, 2023
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
UDI-DI
00880304431317
PMA / PMN Number
K040770
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING FILLED TO RELAY ADDITIONAL INFORMATION, WHICH WAS UNKNOWN AT THE TIME OF THE INITIAL MEDWATCH.

Description of Event or Problem · 0

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

Additional Manufacturer Narrative · 1

(B)(4). MEDICAL PRODUCTS: VNGD TI FEM CR 62.5MM RT CATALOG # CP113616 LOT # 176190, BIOMET ILOK PRI TIB TRAY 71MM CATALOG # 141213 LOT # 012440, VNGD ANT STAB BRG 13X71 CATALOG # 189063 LOT # 919050. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED BECAUSE IT REMAINS IMPLANTED. MULTIPLE MDR REPORTS WERE FILLED FOR THIS EVENT: 0001825034-2021-02136, 0001825034-2021-02138, 0001825034-2021-02139. ACCORDING TO TABERS MEDICAL DICTIONARY ¿ MANIPULATION OF A JOINT IS A MOBILIZATION TECHNIQUE, SOMETIMES INVOLVING A RAPID THRUST OR STRETCHING OF A JOINT, WITH OR WITHOUT ANESTHESIA. WITH ANESTHESIA IS (MUA). PER CLINICAL ORTHROPAEDICS AND RELATED RESEARCH (HOW TO TREAT THE STIFF TOTAL KNEE ARTHROPLASTY? A SYSTEMATIC REVIEW), MUA IS USED TO TREAT AND RESOLVE ARTHROFIBROSIS (SCAR TISSUE). THIS PROCEDURE IS PERFORMED TO INCREASE ARTICULAR MOTION AND REDUCE CHRONIC PAIN FROM ARTHROFIBROSIS. THE INDICATION FOR MANIPULATION UNDER ANESTHESIA IS RELATED TO LIMITED RANGE OF MOTION AND STIFFNESS DUE TO ADHESIONS/SCAR TISSUE. 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 · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT A KNEE ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT HAD A MANIPULATION UNDER ANESTHESIA DUE TO PAIN, STIFFNESS AND ARTHROFIBROSIS. NO REVISION PROCEDURE HAS BEEN REPORTED TO DATE. ATTEMPT FOR FURTHER INFORMATION HAS BEEN MADE, BUT NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1113603 SERIES A PAT STD 31 3 PEG PROSTHESIS KNEE JWH ZIMMER BIOMET, INC. N/A 950430 00880304431317

Patients

Seq Age Sex Outcome Treatment
1 Female Hospitalization| R SEE H10 NARRATIVE.