FDA Adverse Event Injury Summary report: N

UNKNOWN NCB PLATE

MDR report key: 15803134 · Received November 16, 2022

Report

Report Number
0009613350-2022-00593
Event Type
Injury
Date Received
November 16, 2022
Report Date
January 24, 2023
Manufacturer
ZIMMER SWITZERLAND MANUFACTURER GMBH
Product Code
HRS
PMA / PMN 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: ITEM#: UNKNOWN; LOT#; UNKNOWN; ITEM NAME: UNKNOWN DISTAL LOCKING SCREW; ITEM#: UNKNOWN; LOT#; UNKNOWN; ITEM NAME: UNKNOWN DISTAL LOCKING SCREW; ITEM#: UNKNOWN; LOT#; UNKNOWN; ITEM NAME: UNKNOWN DISTAL LOCKING SCREW; ITEM#: UNKNOWN; LOT#; UNKNOWN; ITEM NAME: UNKNOWN DISTAL LOCKING SCREW; ITEM#: UNKNOWN; LOT#; UNKNOWN; ITEM NAME: UNKNOWN DISTAL LOCKING SCREW. REPORT SOURCE-FOREIGN-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).

Description of Event or Problem · 0

A STUDY REPORTED THE ONE 75-YEAR-OLD FEMALE PATIENT WITH A SU TYPE 3 FRACTURE EXPERIENCED MALUNION OF 11 DEGREES ANTERIOR ANGULATION POSTOP. NO FURTHER INTERVENTION OR COMPLICATIONS WERE NOTED. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.

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
351574 UNKNOWN NCB PLATE TRAUMA PROSTHESIS HRS ZIMMER SWITZERLAND MANUFACTURER GMBH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female Other