BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIOMET TIBIAL TRAYS - CC CRUCIATE TRAY 83MM

    MDR report key: 6432527 · Received March 24, 2017

    Report

    Report Number
    0001825034-2017-02068
    Event Type
    Injury
    Date Received
    March 24, 2017
    Report Date
    June 23, 2017
    Manufacturer
    BIOMET ORTHOPEDICS
    Product Code
    JWH
    PMA / PMN Number
    PK142933
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). CONCOMITANT PRODUCTS ¿ VANGUARD PS FEMUR RIGHT 75MM CATALOG 183114 LOT 217460; BIOMET CRUCIATE TRAY 83MM CATALOG 141236 LOT J3227477; VANGUARD PS FEMUR LEFT 75MM CATALOG 183134 LOT 060840; VANGUARD PS TIBIAL BEARING 79/83MM X 10MM CATALOG EP-183660 LOT 923770; VANGUARD PS TIBIAL BEARING 79/83MM X 10MM CATALOG EP-183660 LOT 644360; SERIES A PATELLA 34MM CATALOG 184766 LOT 236760; SERIES A PATELLA 34MM CATALOG 184766 LOT 914120. CUSTOMER HAS NOT INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 1825034-2017-02066, 1825034-2017-02067, AND 1825034-2017-02069.

    Additional Manufacturer Narrative · 1

    THIS FOLLOW-UP REPORT IS BEING FILLED TO RELAY ADDITIONAL INFORMATION, WHICH WAS UNKNOWN AT THE TIME OF THE INITIAL MEDWATCH. UPON RECEIPT OF ADDITIONAL INFORMATION THIS PRODUCT WILL BE REPORTED IN 0001825034 - 2017 -04300.

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE PATIENT¿S LEGAL COUNSEL THAT THE PATIENT UNDERWENT BILATERAL KNEE ARTHROPLASTIES APPROXIMATELY THREE YEARS AGO AND WAS REVISED ON AN UNKNOWN DATE DUE TO PATIENT ALLEGATIONS OF METAL ALLERGIES. NO ADDITIONAL PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME. THIS REPORT IS BASED ON ALLEGATIONS SET FORTH IN PLAINTIFF¿S COMPLAINT, AND THE ALLEGATIONS CONTAINED THEREIN ARE UNVERIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    213371 BIOMET TIBIAL TRAYS - CC CRUCIATE TRAY 83MM PROSTHESIS, KNEE JWH BIOMET ORTHOPEDICS J3164690

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R