FDA Adverse Event Death Summary report: N

UNKNOWN KNEE

MDR report key: 4903261 · Received July 9, 2015

Report

Report Number
0001825034-2015-02954
Event Type
Death
Date Received
July 9, 2015
Report Date
October 25, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
NRA
PMA / PMN Number
PUNKNOWN
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFORMATION IS INSUFFICIENT TO PERMIT CONCLUSIONS AS TO THE CAUSE OF THE EVENTS. EVENT DETAILS AND PRODUCT IDENTIFICATION WAS NOT PROVIDED FOR THE PATIENTS MENTIONED IN THE JOURNAL ARTICLE. THE FOLLOWING SECTIONS COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED. DATE OF EVENT - UNKNOWN; EXPIRATION DATE - UNKNOWN; DATE IMPLANTED - UNKNOWN; DATE EXPLANTED - UNKNOWN; INITIAL REPORTER - THE ARTICLE WAS WRITTEN BY SVÄRD UC, PRICE AJ IN J BONE JOINT SURG BR. 2001 MAR;83(2): 191-4; MANUFACTURE DATE ¿ UNKNOWN.

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION: THE FOLLOWING SECTIONS WERE UPDATED: OUTCOMES ATTRIBUTED TO ADVERSE EVENT, ADDED ADDITIONAL INFORMATION, OTHER RELEVANT HISTORY, CATALOG AND LOT NUMBER, PATIENT AND DEVICE CODES, REPORT SOURCE, TYPE OF REPORTABLE EVENT, METHOD, RESULTS, AND CONCLUSION CODES, MANUFACTURER NARRATIVE. THE PRODUCT WAS NOT RETURNED FOR EVALUATION DUE TO UNKNOWN LOCATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED AS PART NUMBER / LOT NUMBER OF DEVICE INVOLVED IN THE INCIDENT IS UNKNOWN. DEVICE HISTORY RECORD (DHR) AND COMPLAINT HISTORY REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT/ITEM NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT THIS TYPE OF EVENT CAN OCCUR AND RISKS ARE ADDRESSED IN RISK DOCUMENTATION, UNDER WARNINGS: MAJOR SURGICAL RISKS ASSOCIATED WITH ANESTHETIC INCLUDING, BRAIN DAMAGE, PNEUMONIA, BLOOD CLOTS, HEART ATTACK, AND DEATH. FOLLOWING REVIEW, NO NEW RISKS WERE IDENTIFIED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. THIS REPORT IS BEING SUBMITTED LATE AS IT HAS BEEN IDENTIFIED IN REMEDIATION.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED BASED ON REVIEW OF A JOURNAL ARTICLE TITLED, "OXFORD MEDIAL UNICOMPARTMENTAL KNEE ARTHROPLASTY", WHICH DESCRIBED THE OUTCOME OF OXFORD MENISCAL-BEARING UNICOMPARTMENTAL ARTHROPLASTIES CARRIED OUT FOR OSTEOARTHRITIS OF THE MEDIAL COMPARTMENT, USING THE OXFORD KNEE MANUFACTURED AT BIOMET. THE STUDY WAS CONDUCTED OVER A PERIOD OF SIXTEEN (16) YEARS (1983 TO 1999) AND INVOLVED ONE-HUNDRED THREE (103) PATIENTS WHO RECEIVED ONE-HUNDRED TWENTY-FOUR (124) KNEES. THIRTY-SEVEN (37) PATIENTS DIED DUE TO UNKNOWN REASONS. THE JOURNAL ARTICLE REPORTS THE FOLLOWING REVISIONS BY REASON: THREE (3) REVISIONS DUE TO BEARING DISLOCATION. TWO (2) REVISIONS DUE TO ASEPTIC LOOSENING. ONE (1) REVISION DUE TO INFECTION. THE AUTHORS OF THE STUDY CONCLUDE THAT THE USE OF A MENISCAL-BEARING PROSTHESIS CAN PROVIDE GOOD LONG-TERM RESULTS OF UNICOMPARTMENTAL REPLACEMENT, PROBABLY BY AVOIDING FAILURE FROM POLY WEAR.

Description of Event or Problem · 1

A REVIEW OF THE ARTICLE IDENTIFIED THIRTY-SEVEN (37) PATIENTS THAT DIED DUE TO UNKNOWN REASONS. THERE HAS BEEN NO FURTHER INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
446198 UNKNOWN KNEE PROSTHESIS, KNEE NRA ZIMMER BIOMET, INC. N/A UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Death| H| R