FDA Adverse Event Death Summary report: N

UNKNOWN HUMERAL COMPONENT

MDR report key: 7292357 · Received February 23, 2018

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

Additional Manufacturer Narrative · 1

(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.

Description of Event or Problem · 1

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