FDA Adverse Event Injury Summary report: N

ALL POLY PATELLA CEMENTED 32 MM DIAMETER

MDR report key: 19417684 · Received May 29, 2024

Report

Report Number
0002648920-2024-00164
Event Type
Injury
Date Received
May 29, 2024
Date of Event
August 16, 2023
Report Date
May 29, 2024
Manufacturer
ZIMMER MANUFACTURING B.V.
Product Code
MBH
PMA / PMN Number
K172524
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10- MEDICAL PRODUCT FEMUR CEMENTED (CR) NARROW LEFT SIZE 7 ITEM# 42502006201 LOT# 65500337. ARTICULAR SURFACE (MC) LEFT 18 MM HEIGHT ITEM# 42512100418 LOT# 65484954. TIBIA CEMENTED 5 DEGREE STEMMED LEFT SIZE D ITEM# 42532006701 LOT# 65850492. PALACOS CEMENT ITEM# 5081287 LOT# 9011100566. ARTHROFIBROSIS IS DEFINED AS THE DEVELOPMENT OF FIBROUS SCAR TISSUE WITHIN OR SURROUNDING A JOINT. ARTHROFIBROSIS IS A KNOWN POSTOPERATIVE PROCEDURE RELATED COMPLICATION THAT CAN OCCUR FROM SURGICAL IMPLANTATION OF NEW JOINT REPLACEMENT AS WELL AS FROM PREVIOUS INJURIES OR SURGICAL PROCEDURES. SCAR TISSUE FORMATION IS A NORMAL HEALING RESPONSE; HOWEVER, THE BUILDUP OF SUCH CAN RESULT IN PAIN, STIFFNESS, LIMITED RANGE OF MOTION, AND DIFFICULTY PROPERLY AMBULATING. IF EXCESS SCAR TISSUE DEVELOPS, CONSERVATIVE MEASURES SUCH AS EXERCISES, OR PHYSICAL THERAPY WOULD BE ATTEMPTED FIRST. IF THESE ATTEMPTS FAIL, SURGICAL INTERVENTION SUCH AS MANIPULATION UNDER ANESTHESIA, ARTHROSCOPIC ARTHROLYSIS, OR OPEN ARTHROTOMY WOULD BECOME NECESSARY TO REMOVE THE FIBROUS TISSUE AND RESTORE JOINT FUNCTION. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT DEVELOPED PAIN, STIFFNESS, AND LIMITED RANGE OF MOTION AND UNDERWENT A MANIPULATION UNDER ANESTHESIA APPROXIMATELY TWO MONTHS POST IMPLANTATION DUE TO ARTHROFIBROSIS. THERE IS NO ADDITIONAL INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
586731 ALL POLY PATELLA CEMENTED 32 MM DIAMETER PROSTHESIS, KNEE MBH ZIMMER MANUFACTURING B.V. N/A 65927743

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization| R