BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK DISCOVERY ELBOW

    MDR report key: 6944798 · Received October 12, 2017

    Report

    Report Number
    0001825034-2017-08191
    Event Type
    Injury
    Date Received
    October 12, 2017
    Report Date
    October 8, 2017
    Manufacturer
    ZIMMER BIOMET, INC.
    Product Code
    JDC
    PMA / PMN Number
    PN/A
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    ZIMMER BIOMET COMPLAINT: (B)(4). REPORTED EVENT WAS UNABLE TO BE CONFIRMED AS PART NUMBER AND LOT NUMBER OF THE DEVICE INVOLVED IN THE INCIDENT IS UNKNOWN. 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. R. LARGE, A. TAMBE, T. CRESSWELL, M. ESPAG, D. I. CLARK, FROM THE ROYAL DERBY HOSPITAL, DERBYSHIRE, UNITED KINGDOM. THE JOURNAL OF BONE AND JOINT SURGERY, WWW.JBJS .ORG, VOLUME 96-A, NUMBER 1, OCTOBER 10, 2014; 96-B:1359¿65.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT AN ARTICLE IDENTIFIED 3 REVISIONS DUE TO ASEPTIC LOOSENING WITH SYMPTOMS ON AN UNKNOWN DATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    725590 UNK DISCOVERY ELBOW EXTREMITY PROSTHESIS JDC ZIMMER BIOMET, INC. N/A UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R