FDA Adverse Event Injury Summary report: N

UNKNOWN OXFORD FEMORAL COMPONENT

MDR report key: 6789566 · Received August 11, 2017

Report

Report Number
3002806535-2017-00800
Event Type
Injury
Date Received
August 11, 2017
Date of Event
September 10, 2016
Report Date
August 11, 2017
Manufacturer
BIOMET UK LTD.
Product Code
JWH
PMA / PMN Number
PN/A
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INITIAL REPORTER: MATTHIJS P. SOMFORD, REINOUD W. BROUWER, PIETER-STIJN W.A. HAEN, JOS J.A.M. VAN RAAY, AND TOM M. VAN RAAIJ ¿TECHNICAL ASPECTS OF REVISION AND FUNCTIONAL OUTCOME AFTER REVISION OF THE OXFORD UNICOMPARTMENTAL KNEE ARTHROPLASTY¿ THE KNEE 23 (2016) 1020-1023. (B)(6). 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. PRODUCT LOCATION UNKNOWN.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT SIX PATIENTS WERE REVISED TO ADDRESS MALPOSITIONING OF THE FEMORAL COMPONENT. NO ADDITIONAL PATIENT CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
567823 UNKNOWN OXFORD FEMORAL COMPONENT PROSTHESIS, KNEE JWH BIOMET UK LTD. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R