FDA Adverse Event Injury Summary report: N

OXFORD UNI FEMORAL LG

MDR report key: 3964401 · Received July 29, 2014

Report

Report Number
0001825034-2014-06519
Event Type
Injury
Date Received
July 29, 2014
Report Date
June 9, 2017
Manufacturer
BIOMET UK LTD.
Product Code
NRA
PMA / PMN Number
PP010014
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

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 OR DEVIATION. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT STATE THAT THIS TYPE OF EVENT CAN OCCUR: UNDER POSSIBLE ADVERSE EFFECTS, NUMBER 10 STATES, "LOOSENING OR MIGRATION OF THE IMPLANTS CAN OCCUR DUE TO LOSS OF FIXATION, TRAUMA, MALALIGNMENT, BONE RESORPTION, EXCESSIVE ACTIVITY."

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING FILED TO CORRECT INFORMATION. REMAINS IMPLANTED.

Additional Manufacturer Narrative · 1

THE FOLLOW-UP REPORT IS BEING FILED TO RELAY ADDITIONAL INFORMATION THAT WAS UNKNOWN AT THE TIME OF THE INITIAL MEDWATCH.

Additional Manufacturer Narrative · 1

THE INFORMATION PROVIDED ON THIS FORM WAS PREVIOUSLY SUBMITTED UNDER MANUFACTURING REPORT NUMBER 3002806535-2017-00479.

Description of Event or Problem · 1

IT WAS REPORTED A PATIENT ENROLLED IN A CLINICAL STUDY UNDERWENT A RIGHT PARTIAL KNEE ARTHROPLASTY ON (B)(6) 2008. SUBSEQUENTLY, PATIENT ALLEGES PAIN AND MIGRATION OF THE FEMORAL COMPONENT. THERE HAS BEEN NO REPORTED REVISION PROCEDURE TO DATE.

Description of Event or Problem · 1

IT WAS REPORTED A PATIENT ENROLLED IN A CLINICAL STUDY UNDERWENT A RIGHT PARTIAL KNEE ARTHROPLASTY ON (B)(6) 2008. SUBSEQUENTLY, PATIENT ALLEGES IMPLANT MIGRATION. THERE HAS BEEN NO REPORTED REVISION PROCEDURE TO DATE.

Description of Event or Problem · 1

IT WAS REPORTED A PATIENT ENROLLED IN A CLINICAL STUDY UNDERWENT A RIGHT PARTIAL KNEE ARTHROPLASTY ON (B)(6) 2008. SUBSEQUENTLY, PATIENT ALLEGES PAIN AND IMPLANT MIGRATION. THERE HAS BEEN NO REPORTED REVISION PROCEDURE TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440776 OXFORD UNI FEMORAL LG PROSTHESIS, KNEE NRA BIOMET UK LTD. N/A 1454958

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R