FDA Adverse Event Injury Summary report: N

UNKNOWN KNEE BEARING

MDR report key: 6908705 · Received October 2, 2017

Report

Report Number
0001825034-2017-07335
Event Type
Injury
Date Received
October 2, 2017
Date of Event
September 23, 2011
Report Date
October 10, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
PN/A
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CONCOMITANT MEDICAL PRODUCTS: UNKNOWN KNEE FEMORAL, CAT#: UNKNOWN LOT#: UNKNOWN, UNKNOWN KNEE TIBIAL, CAT#: UNKNOWN LOT#: UNKNOWN . AARON J. JOHNSON, SIRAJ A. SAYEED, QAIS NAZIRI, HARPAL S. KHANUJA, MICHAEL A. MONT ¿MINIMIZING DYNAMIC KNEE SPACER COMPLICATIONS IN INFECTED REVISION ARTHROPLASTY¿ CLIN ORTHOP RELAT RES (2012) 470:220-227. 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034 - 2017 - 07335, 0001825034 - 2017 - 07336, 0001825034 - 2017 - 07337 - ATTACHMENT: [JOURNAL ARTICLE - JOHNSON ET AL. (07 SEP 2017). PRODUCT LOCATION IS UNKNOWN.

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. UPON RECEIPT OF ADDITIONAL INFORMATION IT HAS BEEN DETERMINED THAT THE REPORTED DEVICE DID NOT CAUSE OR CONTRIBUTE TO THE EVENT. 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 IN A JOURNAL ARTICLE THAT SIX PATIENTS WITH THE DYNAMIC SPACERS WERE REINFECTED AND UNDERWENT FURTHER DEBRIDEMENT. NO ADDITIONAL PATIENT CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
688052 UNKNOWN KNEE BEARING PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention