FDA Adverse Event Injury Summary report: N

UNKNOWN BASEPLATE

MDR report key: 6763055 · Received August 3, 2017

Report

Report Number
0001825034-2017-05731
Event Type
Injury
Date Received
August 3, 2017
Date of Event
February 4, 2016
Report Date
September 28, 2017
Manufacturer
BIOMET ORTHOPEDICS
Product Code
KWS
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. MEDICAL PRODUCTS AND ASSOCIATED MDR REPORTS: FOR THE REVERSE ARTHROPLASTY: UNKNOWN STEM, HUMERAL TRAY, UNKNOWN BEARING, UNKNOWN GLENOSPHERE. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: FOR THE REVERSE ARTHROPLASTY: UNKNOWN STEM FOR REVERSE ARTHROPLASTY 0001825034 - 2017 - 07320 UNKNOWN HUMERAL TRAY 0001825034 - 2017 - 07321 UNKNOWN BEARING 0001825034 - 2017 - 07322 UNKNOWN GLENOSPHERE 0001825034 - 2017 - 05730.

Additional Manufacturer Narrative · 1

(B)(4). REFERENCE: JOSEPH N. LIU, GRANT H. GARCIA, GREGORY MAHONY, HAO-HUA WU, DAVID M. DINES, RUSSELL F. WARREN, LAWRENCE V. GULOTTA (2016) SPORTS AFTER SHOULDER ARTHROPLASTY: A COMPARATIVE ANALYSIS OF HEMIARTHROPLASTY AND REVERSE TOTAL SHOULDER REPLACEMENT. JOURNAL OF SHOULDER AND ELBOW SURGERY BOARD OF TRUSTEES. VOLUME 25, ISSUE 6, PAGES 920¿926. HTTP://DX.DOI.ORG/10.1016/J.JSE.2015.11.003. MEDICAL PRODUCTS: UNKNOWN HEAD, UNKNOWN STEM, UNKNOWN GLENOID, UNKNOWN TAPER, THERAPY DATE: UNKNOWN. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034 - 2017 - 05727, 0001825034 - 2017 - 05728, 0001825034 - 2017 - 05729, 0001825034 - 2017 - 05730. IT IS UNKNOWN IF THE PRODUCT WILL 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.

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 REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT 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. 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

INFORMATION WAS RECEIVED BASED ON REVIEW OF A JOURNAL ARTICLE TITLED 'SPORTS AFTER SHOULDER ARTHROPLASTY: A COMPARATIVE ANALYSIS OF HEMIARTHROPLASTY AND REVERSE TOTAL SHOULDER REPLACEMENT' WHICH IS A RETROSPECTIVE REVIEW OF CONSECUTIVE RSTA AND HHA PATIENTS COLLECTED FROM INSTITUTION'S SHOULDER ARTHROPLASTY REGISTRY. ALL PATIENTS PLAYING SPORTS PREOPERATIVELY WITH MINIMUM ONE YEAR FOLLOW-UP WERE INCLUDED. THIS STUDY IS TO DETERMINE IF PATIENTS WHO ARE NOT CANDIDATES FOR ANATOMIC TSA DUE TO ROTATOR CUFF DYSFUNCTION, RHEUMATOID ARTHRITIS, OR PROXIMAL HUMERAL FRACTURE HAD BETTER RETURN TO SPORTS WHEN THEY UNDERWENT HHA COMPARED WITH RTSA. THE STUDY REPORTED THAT 35 PATIENTS COMPLAINED OF STIFFNESS, (23 HHA GROUP AND 12 RTSA GROUP) .

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
545528 UNKNOWN BASEPLATE PROSTHESIS, SHOULDER KWS BIOMET ORTHOPEDICS N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R