BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN COONRAD-MORREY ULNAR COMPONENT

    MDR report key: 6318973 · Received February 9, 2017

    Report

    Report Number
    0001822565-2017-00658
    Event Type
    Injury
    Date Received
    February 9, 2017
    Report Date
    February 7, 2017
    Manufacturer
    ZIMMER, INC.
    Product Code
    JDC
    PMA / PMN Number
    PNI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    MANSAT ET AL. "EXPERIENCE WITH THE COONRAD-MORREY TOTAL ELBOW ARTHROPLASTY: 78 CONSECUTIVE TOTAL ELBOW ARTHROPLASTIES REVIEWED WITH AN AVERAGE 5 YEARS OF FOLLOW-UP.¿ J SHOULDER ELBOW SURG (2013) 22:1461-1468. NO DEVICE OR PHOTOS WERE RECEIVED; THEREFORE THE CONDITION OF THE DEVICE IS UNKNOWN. DEVICE HISTORY RECORDS CANNOT BE REVIEWED SINCE THE LOT NUMBER IS UNKNOWN. THIS DEVICE IS USED FOR TREATMENT. PRODUCT HISTORY SEARCH CANNOT BE COMPLETED SINCE THE LOT NUMBER IS UNKNOWN. IT IS UNKNOWN WHETHER THE COMPONENTS WERE IMPLANTED WITH THE CORRECT FIT AND ORIENTATION AS PER THE SURGICAL TECHNIQUE. A DEFINITE ROOT CAUSE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED. INITIAL REPORTER - THE ARTICLE WAS WRITTEN BY PIERRE MANSAT, NICOLAS BONNEVIALLE, MICHEL RONGIERES, MICHEL MANSAT AND PAUL BONNEVIALLE.

    Description of Event or Problem · 1

    IT IS REPORTED IN A JOURNAL ARTICLE THAT ONE PATIENT UNDERWENT ELBOW ARTHROPLASTY REVISION TWO TO ELEVEN YEARS FOLLOWING ELBOW ARTHROPLASTY DUE TO LOOSENING OF THE ULNAR COMPONENT. NO FURTHER INFORMATION IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    102374 UNKNOWN COONRAD-MORREY ULNAR COMPONENT ELBOW PROSTHESIS JDC ZIMMER, INC. NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R