FDA Adverse Event Injury Summary report: N

OXFORD UNICOMPARTMENTAL KNEE PHASE 3 ANATOMIC MENISCAL BEARING LARGE SZ 8

MDR report key: 2222184 · Received August 24, 2011

Report

Report Number
1825034-2011-00738
Event Type
Injury
Date Received
August 24, 2011
Date of Event
May 4, 2011
Report Date
July 28, 2011
Manufacturer
BIOMET UK LTD
Product Code
NRA
PMA / PMN Number
P010014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. REVIEW OF DEVICE HISTORY RECORDS SHOW THAT LOT RELEASED WITH NO RECORDED ANOMALY. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT STATE THAT THIS TYPE OF EVENT CAN OCCUR: "PERSISTENT PAIN." THIS REPORT IS NUMBER 3 OF 3 MDRS FILED FOR THE SAME EVENT (REFERENCE 1825034-2011-00736 / 00738). THIS REPORT FILED (B)(4), 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT ENROLLED IN A CLINICAL STUDY UNDERWENT PARTIAL KNEE ARTHROPLASTY ON (B)(6), 2007. SUBSEQUENTLY, A REVISION PROCEDURE WAS PERFORMED ON (B)(6), 2011 TO REMOVE AND REPLACE ALL COMPONENTS DUE TO PAIN. THE PATIENT WAS REVISED TO A TOTAL KNEE REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OXFORD UNICOMPARTMENTAL KNEE PHASE 3 ANATOMIC MENISCAL BEARING LARGE SZ 8 PROSTHESIS, KNEE NRA BIOMET UK LTD N/A 275775

Patients

Seq Age Sex Outcome Treatment
1 82 YR Hospitalization| R