FDA Adverse Event Injury Summary report: N

UNKNOWN ZIMMER TRABECULAR METAL REVERSE SHOULDER IMPLANT

MDR report key: 6445153 · Received March 29, 2017

Report

Report Number
0001822565-2017-01938
Event Type
Injury
Date Received
March 29, 2017
Report Date
July 7, 2017
Manufacturer
ZIMMER, INC.
Product Code
HSD
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). TIUSANEN, H. ET AL. (2016). "RANGES OF MOTION AFTER REVERSE SHOULDER ARTHROPLASTY IMPROVE SIGNIFICANTLY THE FIRST YEAR AFTER SURGERY IN PATIENTS WITH RHEUMATOID ARTHRITIS." EUR J ORTHOP SURG TRAUMATOL, 26, 447¿452. DOI 10.1007/S00590-016-1795-6. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. REVIEW OF DEVICE HISTORY RECORDS WAS UNABLE TO BE PERFORMED AS THE PART NUMBERS AND LOT NUMBERS OF THE DEVICES INVOLVED IN THE EVENT ARE UNKNOWN. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY.

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY CORRECTED INFORMATION. THE JOURNAL ARTICLE PREVIOUSLY SUBMITTED WITH THIS REPORT IDENTIFIED THE "BIGLIANI/FLATOW TRABECULAR METAL" SHOULDER MANUFACTURED BY ZIMMER, INC, (B)(4). HOWEVER, AS THIS JOURNAL ARTICLE CONCERNS REVERSE SHOULDERS SPECIFICALLY, AND ZIMMER, INC DOES NOT MANUFACTURE BIGLIANI/FLATOW REVERSE SHOULDERS, IT IS ASSUMED THAT THE AUTHOR IS REFERRING TO THE ZIMMER TRABECULAR METAL REVERSE SHOULDER, WHICH IS THE ONLY REVERSE SHOULDER MANUFACTURED BY ZIMMER, INC. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT FOLLOWING TOTAL REVERSE SHOULDER ARTHROPLASTY, TWENTY-FIVE PATIENTS EXPERIENCED SCAPULAR NOTCHING RANGING FROM GRADE 1 TO GRADE 3. NINETEEN PATIENTS HAD GRADE 1, 3 PATIENTS HAD GRADE 2, AND 3 PATIENTS HAD GRADE 3. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
223925 UNKNOWN ZIMMER TRABECULAR METAL REVERSE SHOULDER IMPLANT PROSTHESIS, SHOULDER HSD ZIMMER, INC. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Other