FDA Adverse Event Death Summary report: N

UNKNOWN VANGUARD VR

MDR report key: 6949831 · Received October 13, 2017

Report

Report Number
0001825034-2017-08698
Event Type
Death
Date Received
October 13, 2017
Report Date
October 13, 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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR EVALUATION DUE TO UNKNOWN LOCATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED AS PART NUMBER / 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. HOWELL, S. M., PAPADOPOULOS, S., KUZNIK, K., GHALY, L. R., & HULL, M. L. (2015). DOES VARUS ALIGNMENT ADVERSELY AFFECT IMPLANT SURVIVAL AND FUNCTION SIX YEARS AFTER KINEMATICALLY ALLIGNED TOTAL KNEE ARTHROPLASTY? SPRINGER. (B)(4). 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. ZIMMER BIOMET COMPLAINT NUMBER: (B)(4). THIS REPORT IS BEING SUBMITTED LATE AS IT HAS BEEN IDENTIFIED IN REMEDIATION. REMAINS IMPLANTED.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED BASED ON REVIEW OF A JOURNAL ARTICLE TITLED, "DOES VARUS ALIGNMENT ADVERSELY AFFECT IMPLANT SURVIVAL AND FUNCTION SIX YEARS AFTER KINEMATICALLY ALIGNED TOTAL KNEE ARTHROPLASTY?" FROM THE INFORMATION IDENTIFIED IN THE ARTICLE SIX PATIENTS DIED (IMPLANT SURVIVORSHIP WAS 97.5%) DUE UNKNOWN REASON ON AN UNKNOWN DATE. THERE HAS BEEN NO FURTHER INFORMATION PROVIDED AND THE PATIENT OUTCOME IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
728417 UNKNOWN VANGUARD VR JWH ZIMMER BIOMET, INC. NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Death