FDA Adverse Event Injury Summary report: N

OXFORD PKS MEN BEARING UHMWPE LARGE SZ 4

MDR report key: 4173548 · Received October 15, 2014

Report

Report Number
3002806535-2014-00233
Event Type
Injury
Date Received
October 15, 2014
Date of Event
September 18, 2014
Report Date
November 24, 2014
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
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE OXFORD MENISCAL BEARING WAS REVISED AFTER 11 YEARS AND 5 MONTHS DUE TO ¿BEARING WEAR¿. IT IS REPORTED THAT THE PATIENT FELL AND THE BEARING DISLODGED MEDIALLY, HOWEVER THE DATE OF THE FALL HAS NOT BEEN REPORTED HENCE IT IS UNKNOWN HOW LONG THE BEARING WAS FUNCTIONING IN THIS LOCATION. THE SEVERE DEFORMATION ON THE MEDIAL SIDE OF THE INFERIOR ARTICULATING SURFACE SUGGESTS THAT THE MENISCAL BEARING WAS OVERHANGING THE TIBIAL TRAY PRIOR TO REVISION. THE LATERAL SIDE OF THE SUPERIOR ARTICULATING SURFACE EXHIBITS SEVERE DELAMINATION AND DISCOLORATION WHICH MAY BE INDICATIVE OF FEMORAL IMPINGEMENT. BOTH THE INFERIOR AND SUPERIOR ARTICULATING SURFACES EXHIBIT A LARGE NUMBER OF INDENTATIONS WHICH SUGGESTS THAT THIRD BODY WEAR ALSO MAY HAVE OCCURRED. THE POTENTIAL FEMORAL EDGE WEAR AND POSSIBLE SOURCE OF THIRD BODY PARTICLES CANNOT BE CONFIRMED WITHOUT RADIOGRAPHIC IMAGES. AN ASSESSMENT OF THE POSITIONING, SIZING AND ALIGNMENT OF THE BEARING IS ALSO UNABLE TO BE MADE. THEREFORE, THE ULTIMATE CAUSE FOR THE ADVERSE BEARING WEAR CANNOT BE DETERMINED.

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. NO FURTHER COMPLICATIONS HAVE BEEN REPORTED. ITEM IS TO BE RETURNED. UPON RETURN OF ITEM AND COMPLETION OF EVALUATION, A FOLLOW UP REPORT WILL BE SENT TO THE FDA.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT A KNEE REPLACEMENT SURGERY ON (B)(6), 2003. REVISION PROCEDURE WAS PERFORMED ON (B)(6), 2014 DUE TO BEARING WEAR. NO FURTHER INFORMATION HAS BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
653644 OXFORD PKS MEN BEARING UHMWPE LARGE SZ 4 PROSTHESIS, KNEE NRA BIOMET UK LTD. N/A 566506

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R