FDA Adverse Event Injury Summary report: N

UNKNOWN KNEE

MDR report key: 7114450 · Received December 13, 2017

Report

Report Number
0001825034-2017-11139
Event Type
Injury
Date Received
December 13, 2017
Report Date
December 13, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
PN/A
Removal / Correction Number
N/A
Report Source
Manufacturer report
Reporter Location
IN, 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. RITTER, MERRILL A. . ¿FLAT-ON-FLAT, NONCONSTRAINED, COMPRESSION MOLDED POLYETHYLENE TOTAL KNEE REPLACEMENT.¿ CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, VOL. 321, 1995, PP. 79¿85.

Description of Event or Problem · 1

REVISION DUE TO UNKNOWN FAILURES

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
895210 UNKNOWN KNEE KNEE PROSTHESIS JWH ZIMMER BIOMET, INC. NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1