UNKNOWN HUMERAL COMPONENT
Report
- Report Number
- 0001822565-2018-00927
- Event Type
- Death
- Date Received
- February 23, 2018
- Date of Event
- September 20, 2017
- Report Date
- February 15, 2018
- 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
- MN, US
- Reporter Occupation
- PHYSICIAN
Narratives
(B)(4). DATE OF DEATH - UNKNOWN. ADDITIONAL CONCOMITANT MEDICAL PRODUCTS: UNKNOWN, UNKNOWN ULNAR COMPONENT, UNKNOWN. REPORT SOURCE, LITERATURE: BARCO, R. ET AL (2017). TOTAL ELBOW ARTHROPLASTY FOR DISTAL HUMERAL FRACTURES: A TEN-YEAR-MINIMUM FOLLOW-UP STUDY. THE JOURNAL OF BONE AND JOINT SURGERY, 99(18), 1524-1531. DOI: 10.2106/JBJS.16.01222. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. 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. 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001822565 - 2018 - 00926. PRODUCT LOCATION UNKNOWN.
IT WAS REPORTED IN A JOURNAL ARTICLE THAT FOURTEEN PATIENTS DIED 6-10 YEARS POSTOPERATIVELY. NO FURTHER INFORMATION HAS BEEN REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 137207 | UNKNOWN HUMERAL COMPONENT | ELBOW, PROSTHESIS | JDC | ZIMMER BIOMET, INC. | N/A | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |