FDA Adverse Event Other Summary report: N

NEXGEN COMPLETE KNEE SOLUTION CRUCIATE RETAINING (CR) FEMORAL COMPONENT PRECOAT

MDR report key: 1534737 · Received November 18, 2009

Report

Report Number
1822565-2009-01148
Event Type
Other
Date Received
November 18, 2009
Date of Event
October 14, 2009
Report Date
November 2, 2009
Manufacturer
ZIMMER, INC.
Product Code
HSA
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: AT THIS POINT, NO PRODUCT DEFICIENCY HAS BEEN ALLEGED. CLINICAL EXPERIENCE HAS SHOWN THAT PTS WHO HAVE TESTED POSITIVE FOR METAL SENSITIVITY GENERALLY DO NOT EXHIBIT A REACTION WHEN THE SENSITIZING MATERIAL IS IMPLANTED AS AN ORTHOPAEDIC DEVICE. HOWEVER, IF THIS PT ELICITS AN ALLERGIC OR SENSITIZATION RESPONSE, THIS COMPLAINT MAY BE REVISITED. EVALUATION CODES: 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 INFO BE RECEIVED, THE COMPLAINT WILL BE REOPENED. ZIMMER, INC CONSIDERS THE INVESTIGATION CLOSED.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PT HAS A NICKLE ALLERGY OF WHICH THE SALES REP WAS NOT NOTIFIED UNTIL IMPLANTS WERE OPEN AND CEMENT WAS MIXING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN COMPLETE KNEE SOLUTION CRUCIATE RETAINING (CR) FEMORAL COMPONENT PRECOAT KNEE PROSTHESIS HSA ZIMMER, INC. NA 61262436

Patients

Seq Age Sex Outcome Treatment
1 UNK