FDA Adverse Event Injury Summary report: N

UNKNOWN NCB PLATE

MDR report key: 15803066 · Received November 16, 2022

Report

Report Number
0009613350-2022-00601
Event Type
Injury
Date Received
November 16, 2022
Report Date
January 26, 2023
Manufacturer
ZIMMER SWITZERLAND MANUFACTURING GMBH
Product Code
HRS
PMA / PMN Number
N/A
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). CONCOMITANT MEDICAL PRODUCTS: UNKNOWN DISTAL LOCKING SCREW; ITEM#UNKNOWN DISTAL LOCKING SCREW; LOT#UNKNOWN; UNKNOWN DISTAL LOCKING SCREW; ITEM#UNKNOWN DISTAL LOCKING SCREW; LOT#UNKNOWN; UNKNOWN DISTAL LOCKING SCREW; ITEM#UNKNOWN DISTAL LOCKING SCREW; LOT#UNKNOWN; UNKNOWN DISTAL LOCKING SCREW; ITEM#UNKNOWN DISTAL LOCKING SCREW; LOT#UNKNOWN. REPORT SOURCE - UNITED KINGDOM. LITERATURE - JOURNAL ARTICLE. THE OUTCOME OF FIXING DISTAL FEMUR PERIPROSTHETIC FRACTURE AROUND TOTAL KNEE REPLACEMENT USING A LOCKING PLATE NON-CONTACT BRIDGING (NCB). RAHUMA MA, NOUREDDINE H. DOI: HTTPS://DOI.ORG/10.5704/MOJ.2203.007. INVESTIGATION OF THIS INCIDENT IS CURRENTLY ONGOING. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND/OR CORRECTED INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4; B5; D9; G3; G6; H2; H3; H6; H10 NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. PART AND LOT IDENTIFICATION ARE NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS, NEITHER WERE PROVIDED. THE DEVICE IS USED FOR TREATMENT. A COMPLAINT HISTORY REVIEW CANNOT BE PERFORMED WITHOUT PART AND LOT IDENTIFICATION. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED IN A JOURNAL ARTICLE THAT A PATIENT UNDERWENT A REVISION ARTHROPLASTY WITH A LONG STEM CEMENTED PROSTHESIS DUE TO FRACTURE NONUNION. DUE DILIGENCE IS IN PROGRESS FOR THIS EVENT; TO DATE NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 0

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
349591 UNKNOWN NCB PLATE TRAUMA PROSTHESIS HRS ZIMMER SWITZERLAND MANUFACTURING GMBH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 83 YR Female Hospitalization| O SEE H10 NARRATIVE