FDA Adverse Event Injury Summary report: N

OXF PH3 CEMENTLESS TIB SZ D LM

MDR report key: 6910110 · Received October 3, 2017

Report

Report Number
0001825034-2017-07805
Event Type
Injury
Date Received
October 3, 2017
Date of Event
June 17, 2008
Report Date
October 2, 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
NZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

REPORTED EVENT WAS UNABLE TO BE CONFIRMED AS LOT NUMBER OF DEVICE INVOLVED IN THE INCIDENT IS UNKNOWN. DEVICE HISTORY RECORD (DHR) 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. (B)(4). HOOPER, G.J. ET AL. J BONE JOINT SURG BR 2012;94-B:334¿8. DEVICE NOT RETURNED.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED BASED ON REVIEW OF A JOURNAL ARTICLE ENTITLED, "THE EARLY RADIOLOGICAL RESULTS OF THE UNCEMENTED OXFORD MEDIAL COMPARTMENT KNEE REPLACEMENT." THIS STUDY CONSISTED OF ONE PATIENT WHO UNDERWENT LEFT PARTIAL KNEE ARTHROPLASTY ON (B)(6) 2007. SUBSEQUENTLY, PATIENT WAS REVISED TO A TOTAL KNEE ON (B)(6) 2008 DUE TO LATERAL COMPARTMENT OSTEOTOMY. PATIENT WAS REVISED TO A TOTAL KNEE. NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
690213 OXF PH3 CEMENTLESS TIB SZ D LM KNEE PROSTHESIS JWH ZIMMER BIOMET, INC. N/A UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization| R