FDA Adverse Event Injury Summary report: N

NEXGEN CR-FLEX GSF FEMORAL COMPONENT

MDR report key: 4101633 · Received August 27, 2014

Report

Report Number
1822565-2014-01036
Event Type
Injury
Date Received
August 27, 2014
Date of Event
September 25, 2013
Report Date
July 29, 2014
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CRUCIATE RETAINING FEMORAL COMPONENT IMPLANTED IS INCOMPATIBLE WITH THE POSTERIOR STABILIZED ARTICULAR SURFACE IMPLANTED. THE PACKAGE LABELING FOR THE FEMORAL COMPONENT INDICATES THAT THE COMPONENT IS A PRECOAT, CR-FLEX, SIZE E RIGHT. THE PACKAGE INSERT STATES "DO NOT USE: CR FLEX GSF FEMORAL COMPONENTS WITH NEXGEN LPS, LPS FLEX, OR PS ARTICULAR SURFACE COMPONENTS. THEY WERE NOT DESIGNED TO BE COMPATIBLE". DEVICE HISTORY RECORDS FOR THE FEMORAL COMPONENT WERE REVIEWED AND FOUND CONFORMING.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PATIENT UNDERWENT A RIGHT TOTAL KNEE REPLACEMENT. THE INITIAL SURGERY WAS UNEVENTFUL. THE NEXT DAY IT WAS REALIZED THAT A CRUCIATE RETAINING IMPLANT ON THE FEMORAL SIDE WAS UTILIZED RATHER THAN A POSTERIOR STABILIZED IMPLANT. AS A RESULT, A REVISION WAS DONE AND PATIENT SEEMED TO RECOVER NORMALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
522646 NEXGEN CR-FLEX GSF FEMORAL COMPONENT JWH ZIMMER, INC. 62437674

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention