FDA Adverse Event Injury Summary report: N

OSS REINFORCED YOKE

MDR report key: 15257754 · Received August 19, 2022

Report

Report Number
0001825034-2022-01867
Event Type
Injury
Date Received
August 19, 2022
Report Date
November 29, 2022
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KRO
PMA / PMN Number
K052685
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001825034-2022-01862, 0001825034-2022-01863, 0001825034-2022-01864, 0001825034-2022-01865, 0001825034-2022-01866. MEDICAL PRODUCT: OSS RS AXLE, ITEM# 161035, LOT# 821880. OSS POLY LOCK PIN, ITEM# 150478, LOT# 289470. OSS RS POLY FEM BUSHINGS SET/2, ITEM# 161034, LOT# 838700. OSS POLY TIBIAL BUSHING, ITEM# 150476, LOT# 183060. OSS TIBIAL POLY BEARING 20 MM, ITEM# 150414, LOT# 351350. OSS TIB BLOCK 20X63/67 ML/LR, ITEM# 150430, LOT# 246240. OSS TIB BLK AUG 10X63/67 UNIV, ITEM# 150426, LOT# 626690. CPS ANCHOR PLUG 14 MM, ITEM# 178404, LOT# 136710. CPS TRANSVERSE PIN 6 PK 36 MM, ITEM# 178528, LOT# 889380. CPS SM M-H F SPINDLE 12 MM PCHA, ITEM# 178472, LOT# 240530. CPS NUT CO-CR-MO ALLOY, ITEM# 178512, LOT# 485340. CPS/OSS 5 CM TPR ADAPT W/OSS SC, ITEM# 178711, LOT# 821510. OSS RS 7 CM MOD SEG FMRL-LT, ITEM# 161012. LOT# 547240. CPS CENTERING SLEEVE 16 MM, ITEM# 178538. LOT# 818860. COBALT MV BONE CEMENT 40 GM B, ITEM# 402439, LOT# 187910. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

UPON RECEIPT OF ADDITIONAL INFORMATION, IT WAS DETERMINED THAT THIS ITEM WAS REPORTED IN ERROR. THE INITIAL REPORT WAS SUBMITTED IN ERROR AND SHOULD BE VOIDED. ADDITIONAL INFORMATION RECEIVED INDICATES THAT ONLY THE CUSTOM TIBIAL BUSHINGS WERE WORN.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT IS BEING CONSIDERED FOR A REVISION TO REPLACE POLY COMPONENTS DUE TO UNKNOWN REASONS. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN MADE; HOWEVER, NO MORE INFORMATION IS AVAILABLE AT THIS TIME.

Description of Event or Problem · 0

UPON RECEIPT OF ADDITIONAL INFORMATION, IT WAS DETERMINED THAT THIS ITEM WAS REPORTED IN ERROR. THE INITIAL REPORT WAS SUBMITTED IN ERROR AND SHOULD BE VOIDED. ADDITIONAL INFORMATION RECEIVED INDICATES THAT ONLY THE CUSTOM TIBIAL BUSHINGS WERE WORN.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT WAS COMPLAINING OF LACK OF KNEE STABILITY. SURGEON SHARED HIS INPUT THAT HE BELIEVED THE TIBIA BUSHING COMPONENTS HAD BEGUN TO FAIL BASED ON X-RAYS OF THE KNEE JOINT AND LOCATION OF AXLE RELATIVE TO THE TIBIA BODY THROUGH HOLE THAT HOUSED THE BUSHINGS. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN MADE; HOWEVER, NO MORE INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2848188 OSS REINFORCED YOKE PROSTHESIS, KNEE KRO ZIMMER BIOMET, INC. N/A 529730

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other