FDA Adverse Event Injury Summary report: N

NEXGEN LPS-FLEX PROLONG ARTICULAR SURFACE

MDR report key: 2963227 · Received December 20, 2012

Report

Report Number
1822565-2012-02569
Event Type
Injury
Date Received
December 20, 2012
Date of Event
November 14, 2012
Report Date
November 26, 2012
Manufacturer
ZIMMER, INC.
Product Code
MBH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE ZIMMER STERILIZATION VENDOR PROCESSES ALL IMPLANTS TO MEET FDA REGULATIONS AND (B)(4) STANDARDS AT A STERILITY ASSURANCE LEVEL (SAL) OF (B)(4). THEREFORE, IT IS HIGHLY UNLIKELY THAT THE SPECIFIED DEVICE CAUSED OR CONTRIBUTED TO ANY PT INFECTION. THE MEASURED DIMENSION OF THE RETURNED ARTICULAR SURFACE WERE WITHIN SPECIFICATION. THE DEVICE EXHIBITED PITTING AND WEAR ON THE CONDYLE CONTACT AREAS AND GOUGES ON THE BOTTOM SIDE. DEVICE HISTORY RECORDS INDICATE ALL COMPONENTS WERE MANUFACTURED AND INSPECTED TO SPECIFICATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PT'S KNEE DEVELOPED SWELLING WITH FLUID. THE PT UNDERWENT REVISION DUE TO INFECTION AND IRRIGATION AND DEBRIDEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN LPS-FLEX PROLONG ARTICULAR SURFACE MBH ZIMMER, INC. 61574743

Patients

Seq Age Sex Outcome Treatment
1 05/09/1 Required Intervention