FDA Adverse Event Injury Summary report: N

OXF ANAT BRG LT X-SM SZ 3 PMA

MDR report key: 18073592 · Received November 6, 2023

Report

Report Number
3002806535-2023-00372
Event Type
Injury
Date Received
November 6, 2023
Date of Event
February 15, 2023
Report Date
November 30, 2023
Manufacturer
BIOMET UK LTD.
Product Code
NRA
UDI-DI
05019279068937
PMA / PMN Number
P010014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, B5, G3, G6, H2, H3, H6, H10 THE PRODUCTS REMAIN IMPLANTED; THEREFORE, VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. A REVIEW OF THE DEVICE MANUFACTURING RECORDS CONFIRMED NO ABNORMALITIES OR DEVIATIONS. DEVICES ARE USED FOR TREATMENT. WITH THE AVAILABLE INFORMATION, A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). G2-FOREIGN-CHINA. D10: ITEM#:154912 ;LOT#:7050502 ;ITEM NAME: OXF PH3 CEMENTLESS FEM SZ XSM; ITEM#:154718 ;LOT#:6983509 ;ITEM NAME: OXF UNI TIB TRAY SZA LM. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 3002806535 - 2023 - 00370, 3002806535 - 2023 - 00371. INVESTIGATION OF THIS INCIDENT IS CURRENTLY ONGOING. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED PAIN 11 MONTHS POST SURGERY WHICH WAS RESOLVED BY OSTEOPLASTY SURGERY. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2154871 OXF ANAT BRG LT X-SM SZ 3 PMA PROSTHESIS, KNEE NRA BIOMET UK LTD. 7000309 05019279068937

Patients

Seq Age Sex Outcome Treatment
1 Female Hospitalization| R SEE H10 NARRATIVE.