FDA Adverse Event Injury Summary report: N

UNKNOWN KNEE

MDR report key: 6954447 · Received October 17, 2017

Report

Report Number
0001825034-2017-08483
Event Type
Injury
Date Received
October 17, 2017
Report Date
October 11, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
PUNKNOWN
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(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. THIS REPORT IS BEING SUBMITTED LATE AS IT HAS BEEN IDENTIFIED IN REMEDIATION. BEREND, K. R., MD, LOMBARDI, JR., A. V., MD, MALLORY, T. H., MD, ADAMS, J. B., BFA, AND DODDS, K. L., RN. (2004). TOTAL FEMORAL ARTHROPLASTY FOR SALVAGE OF END-STAGE PROSTHETIC DISEASE. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, (NO. 427), 162-170. DOI:10.1097/01.BLO.0000142351.88039.E8.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED BASED ON REVIEW OF A JOURNAL ARTICLE TITLED, "TOTAL FEMORAL ARTHROPLASTY FOR SALVAGE OF END-STAGE PROSTHETIC DISEASE¿. THIS COMPLAINT ADDRESSES SEVEN PATIENT'S WITH LINER EXCHANGES OR ACETABULAR REVISIONS FOR DISLOCATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
734256 UNKNOWN KNEE KNEE PROSTHESIS JWH ZIMMER BIOMET, INC. NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R