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 |