FDA Adverse Event Injury Summary report: N

UNKNOWN MILLER/GALANTE UNICOMPARTMENTAL ARTICULAR SURFACE

MDR report key: 6788768 · Received August 11, 2017

Report

Report Number
0001822565-2017-05622
Event Type
Injury
Date Received
August 11, 2017
Date of Event
March 15, 2017
Report Date
August 11, 2017
Manufacturer
ZIMMER, INC.
Product Code
HSX
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). GRO S. DYRHOVDEN (2017) "HAVE THE CAUSES OF REVISION FOR TOTAL AND UNICOMPARTMENTAL KNEE ARTHROPLASTIES CHANGED DURING THE PAST TWO DECADES?" CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 475:1874¿1886. CONCOMITANT DEVICES ¿ UNKNOWN MILLER/GALANTE UNICOMPARTMENTAL TIBIAL COMPONENT CATALOG #: NI LOT #: NI, UNKNOWN MILLER/GALANTE UNICOMPARTMENTAL FEMORAL COMPONENT CATALOG #: NI LOT #: NI. CONTACT NAME ¿ THIS JOURNAL ARTICLE WAS WRITTEN BY GRO S. DYRHOVDEN, STEIN HAKON L. LYGRE, MONA BADAWY, OYSTEIN GOTHESEN AND OVE FURNES. THE COMPLAINT DEVICE IS NOT EXPECTED FOR RETURN CURRENTLY, BUT A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED UPON RECEIPT OF ADDITIONAL INFORMATION. THE REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. A COMPLAINT HISTORY REVIEW WAS UNABLE TO BE PERFORMED AS THE PART AND LOT NUMBERS ARE UNKNOWN. A 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. THIS REPORT IS NUMBER 1 OF 3 MDRS FILED FOR THE SAME EVENT (REFERENCE 0001822565-2017-05623 / 05624).

Description of Event or Problem · 1

IT IS REPORTED IN A JOURNAL ARTICLE THAT 176 PATIENTS UNDERWENT KNEE ARTHROPLASTY REVISIONS TO TREAT UNEXPLAINED PAIN. NO FURTHER PATIENT CONSEQUENCES WERE REPORTED. ATTEMPTS HAVE BEEN MADE TO RETRIEVE ADDITIONAL INFORMATION, BUT NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
567756 UNKNOWN MILLER/GALANTE UNICOMPARTMENTAL ARTICULAR SURFACE PROSTHESIS, KNEE HSX ZIMMER, INC. NI N/A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R