FDA Adverse Event Injury Summary report: N

NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE POSTERIOR STABILIZED LPS-FLEX ARTICULA

MDR report key: 2853177 · Received July 31, 2008

Report

Report Number
1822565-2008-00984
Event Type
Injury
Date Received
July 31, 2008
Date of Event
February 22, 2008
Report Date
July 17, 2008
Manufacturer
ZIMMER, INC.
Product Code
JWH
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVALUATION SUMMARY: NO PRODUCT WAS RETURNED FOR EVALUATION. THE STERILIZATION PROCESS FOR THIS DEVICE WAS VALIDATED IN ACCORDANCE WITH FDA REGULATIONS AND ISO STANDARDS TO STERILITY ASSURANCE LEVEL OF 10-6 OR BETTER. THEREFORE, IT IS UNLIKELY THAT THE SPECIFIED DEVICE CAUSED OR CONTRIBUTED TO THE PATIENT INFECTION. CAUSE CAN NOT BE DEFINITELY DETERMINED. METHOD, RESULTS, CONCLUSIONS: NO PRODUCT WAS RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS WAS ALSO NOT POSSIBLE AS THE PRODUCT AND/OR LOT NUMBERS REQUIRED FOR RETRIEVAL WERE UNAVAILABLE. IT IS NOT SUSPECTED THAT THE PRODUCT FAILED TO MEED SPECIFICATIONS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT CONTRIBUTION TO THE REPORTED PROBLEM. BASED ON THE AVAILABLE INFORMATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. SHOULD ADDITIONAL SUBSTANTIVE INFORMATION BE RECEIVED, THE COMPLAINT WILL BE REOPENED. ZIMMER CONSIDERS THE INVESTIGATION CLOSED.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PATIENT HAD INITIAL SURGERY ON (B)(6) 2007. THE PATIENT WAS REVISED ON (B)(6) 2008 DUE TO DEEP INFECTION RESULTING IN REVISION OF THE ARTICULAR SURFACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE POSTERIOR STABILIZED LPS-FLEX ARTICULA KNEE PROSTHESIS JWH ZIMMER, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 61 YR Hospitalization| R