FDA Adverse Event Injury Summary report: N

NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE ARTICULAR SURFACE WITH HINGE

MDR report key: 1262774 · Received December 12, 2008

Report

Report Number
1822565-2008-00904
Event Type
Injury
Date Received
December 12, 2008
Date of Event
November 10, 2008
Report Date
November 11, 2008
Manufacturer
ZIMMER, INC.
Product Code
HRZ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY - THE LOOSENING OF THE HINGE POST EXTENSION CAN RESULT IF IT IS INITIALLY UNDER TORQUED. TIGHTENING OF THE HINGE POST EXTENSION TO THE REQUIRED TORQUE OF 130 IN-LBS IS CRITICAL FOR THE PROPER FUNCTIONING OF THE PARTS. IT IS UNKNOWN IF THE HINGE POST EXTENSION WAS INITIALLY TORQUED TO THE REQUIRED 130 IN-LBS. THE PARTS WERE NOT RETURNED AND X-RAYS WERE NOT PROVIDED FOR EVALUATION. THE CAUSE OF THE LOOSENING OF THE HINGE POST EXTENSION COULD BE DEFINITIVELY DETERMINED BASED ON THE AVAILABLE INFORMATION. EVALUATION - NO PRODUCT WAS RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS DID NOT FIND ANY DEVIATIONS OR ANOMALIES. IT IS NOT SUSPECTED THAT THE PRODUCT FAILED TO MEET SPECIFICATIONS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT CONTRIBUTION TO THE REPORTED PROBLEM. BASED ON THE INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. SHOULD ADDITIONAL SUBSTANTIVE INFORMATION BE RECEIVED, THE COMPLAINT WILL BE REOPENED. ZIMMER, INC. CONSIDERS THE INVESTIGATION CLOSED.

Description of Event or Problem · 1

IT IS REPORTED THAT THE DEVICE WAS IMPLANTED IN 2008 AND WAS REVISED SEVEN MONTHS LATER, DUE TO THE HINGE POST LOOSENING (UNTHREADING) FROM HINGE ASSEMBLY CAUSING KNEE TO DISLOCATE AND POLY TO DISLODGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE ARTICULAR SURFACE WITH HINGE KNEE PROSTHESIS HRZ ZIMMER, INC. NA 60863610

Patients

Seq Age Sex Outcome Treatment
1 45 YR Hospitalization| R