FDA Adverse Event Injury Summary report: N

UNK NEXGEN KNEE

MDR report key: 3201660 · Received June 28, 2013

Report

Report Number
1822565-2013-01044
Event Type
Injury
Date Received
June 28, 2013
Report Date
May 31, 2013
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: IT IS REPORTED THAT THE PT CANNOT OBTAIN FLEXION BEYOND 90 DEGREES WITH A NEXGEN LEGACY IMPLANT. REVISION SURGICAL NOTES HAVE BEEN PROVIDED AND INDICATED THAT THE PT UNDERWENT MANIPULATION AND SYNOVECTOMY DUE TO STIFFNESS AFTER IMPLANT SURGERY. IT IS NOTED THAT THESE PROCEDURES WERE NOT SUCCESSFUL AND THE PT WAS ULTIMATELY REVISED DUE TO STIFFNESS AND PAIN ON (B)(6) 2011. BOTH TIBIAL AND FEMORAL COMPONENTS ARE NOTED TO HAVE BEEN REMOVED BY SAW AND OSTEOTOME INDICATING THEY WERE NOT LOOSE. ALSO, THE REVISION NOTES INDICATE THAT SCAR TISSUE WAS EXCISED AND LIGAMENT/TISSUE RELEASES WERE PERFORMED. X-RAYS WERE NOT PROVIDED; IT IS UNK WHETHER THE COMPONENTS WERE IMPLANTED WITH THE CORRECT FIT AND ORIENTATION AS PER THE SURGICAL TECHNIQUE. THERE IS NO INDICATION THAT THE COMPONENTS FAILED. IT IS POSSIBLE THAT THE PT'S ANATOMY AND SCAR TISSUE CONTRIBUTED TO THE LACK OF FLEXION WITH THE IMPLANTS; HOWEVER, THIS CANNOT BE DETERMINED CONCLUSIVELY. THE PART NUMBERS AND LOT NUMBERS ARE UNK; THEREFORE THE DEVICE HISTORY RECORDS COULD NOT BE REVIEWED. 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 AVAILABLE INFO, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED.

Description of Event or Problem · 1

IT IS REPORTED THAT FOLLOWING A REVISION SURGERY FOR PAIN AND STIFFNESS, THE PT IS CONTINUING TO EXPERIENCE THESE SYMPTOMS. CONCERNS OF A POSSIBLE METAL ALLERGY HAVE ALSO BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
297040 UNK NEXGEN KNEE KNEE PROSTHESIS JWH ZIMMER, INC.

Patients

Seq Age Sex Outcome Treatment
1 Other