FDA Adverse Event Injury Summary report: N

BIOMET MCK MAXIMUM CONGRUENT KNEE

MDR report key: 6707453 · Received July 12, 2017

Report

Report Number
0001825034-2017-04864
Event Type
Injury
Date Received
July 12, 2017
Report Date
September 15, 2017
Manufacturer
BIOMET ORTHOPEDICS
Product Code
JWH
PMA / PMN Number
PK915132
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(6). CONCOMITANT PRODUCTS: BIOMET VANGUARD COMPLETE KNEE SYSTEM, CAT#: 183044 LOT#: 802440; BIOMET VANGUARD COMPLETE KNEE SYSTEM, CAT#: 183420 LOT#: 199130; BIOMET VANGUARD PATELLA COMPONENTS, CAT#: 184762 LOT# 549890; BIOMET REGENEREX TIBIAL COMPONENTS, CAT#: 141272 LOT#: 127720. PRODUCT IS CURRENTLY NOT EXPECTED TO RETURN TO ZIMMER BIOMET FOR INVESTIGATION AS IT REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MEDWATCH WILL BE SUBMITTED. 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2017-04864, 0001825034-2017-04866, 0001825034-2017-04867, 0001825034-2017-04874, 0001825034-2017-04889.

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. REVIEW OF THE COMPLAINT HISTORY DETERMINED THAT NO FURTHER ACTION IS REQUIRED AS NO TRENDS WERE IDENTIFIED. ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. 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.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING A FEVER, PAIN AND SWELLING IMMEDIATELY FOLLOWING A KNEE PROCEDURE. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
486182 BIOMET MCK MAXIMUM CONGRUENT KNEE PROSTHESIS, KNEE JWH BIOMET ORTHOPEDICS 104580

Patients

Seq Age Sex Outcome Treatment
1 Disability