FDA Adverse Event Injury Summary report: N

NEXGEN LEGACY KNEE LPS ARTICULAR SURFACE

MDR report key: 2030632 · Received March 18, 2011

Report

Report Number
1822565-2011-00657
Event Type
Injury
Date Received
March 18, 2011
Date of Event
October 30, 2008
Report Date
September 24, 2009
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE STERILIZATION PROCESS FOR THIS DEVICE WAS VALIDATED IN ACCORDANCE WITH FDA REGULATIONS AND ISO STANDARDS TO A STERILITY ASSURANCE LEVEL (SAL) OF 1.0 X 10(-6) OR BETTER. THE LOTS SPECIFIED IN THIS COMPLAINT WERE PROCESSED ACCORDING TO THE VALIDATED STERILIZATION PROCESS PARAMETERS AND MET ALL THE ACCEPTANCE CRITERIA FOR STERILITY RELEASE. IN ADDITION, BEFORE EACH LOT IS RELEASED, THE "CERTIFICATE OF PROCESSING" FROM THE STERILIZATION SUPPLIER IS REVIEWED FOR CONFORMANCE. THIS CERTIFICATE LISTS THE MAXIMUM, MINIMUM AND ACTUAL GAMMA DOSE IN KGY. THEREFORE, IT IS HIGHLY UNLIKELY THAT THE SPECIFIED DEVICE CAUSED OR CONTRIBUTED TO ANY PATIENT INFECTION. EVALUATION: 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. THIS MDR WAS IDENTIFIED DURING AN INTERNAL REVIEW TO MEET REPORTING REQUIREMENTS AND THEREFORE IS BEING FILED LATE.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PATIENT WAS REVISED FOR INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN LEGACY KNEE LPS ARTICULAR SURFACE JWH ZIMMER, INC. 60055395

Patients

Seq Age Sex Outcome Treatment
1 65 YR Required Intervention CATALOG #00599601501, LOT# 07875487| CATALOG #00597206529, LOT#60125796, MANUFACTURED| NEXGEN COMPLETE KNEE SOLUTION ALL POLY PATELLA| POSTERIOR STABILIZED (LPS) FEMORAL COMPONENT| NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE-| AT ZIMMER BV, PONCE, PUERTO RICO| NEX GEN COMPLETE KNEE SOLUTION STEMMED TIBIAL| COMPONENT: CATALOG #00598004701, LOT #60127454