FDA Adverse Event Injury Summary report: N

FINN ROTATING HINGE AXEL

MDR report key: 7386877 · Received March 30, 2018

Report

Report Number
0001825034-2018-02276
Event Type
Injury
Date Received
March 30, 2018
Date of Event
April 24, 2018
Report Date
April 5, 2019
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KRO
PMA / PMN Number
PK910877
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. 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.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative · 1

(B)(4). MEDICAL PRODUCT: FINN ROTATING HINGE YOKE, CATALOG #: RD108801, LOT #: 537700; FINN ROTATING HINGE LOCKING PIN, CATALOG #: RD108804, LOT #: 462840; FINN ROTATING HINGE TIBIAL BUSHING, CATALOG #: RD108806, LOT #: 717110; FINN STANDARD TIBIAL BASE, CATALOG #: RD108834, LOT #: 763090; FINN DISTAL FEMORAL DIAPHYSIS, CATALOG #: PM100271, LOT #: 730110; FINN STANDARD TIBIAL BEARING, CATALOG #: RD108810, LOT #: 717120; FINN ROTATING HINGE FEMORAL BUSHING, CATALOG #: RD108803, LOT #: 717100; FINN FEMORAL LOCKING COLLAR, CATALOG #: RD108515, LOT #: 231050; FINN ROTATING HINGE FEMORAL BUSHING, CATALOG #: RD108803, LOT #: 717100; BL2 MODULAR STEM, CATALOG #: CP101648, LOT #: 745890. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. 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: 0001825034-2018-00276, 0001825034-2018-00277, 0001825034-2018-00278, 0001825034-2018-00279, 0001825034-2018-00280, 0001825034-2018-00281, 0001825034-2018-00282, 0001825034-2018-00283, 0001825034-2018-00284, 0001825034-2018-00285, 0001825034-2018-00286. REMAINS IMPLANTED.

Additional Manufacturer Narrative · 1

THIS FOLLOW UP REPORT IS BEING FILED TO RELAY UPDATED AND ADDITIONAL INFORMATION. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2018-00276-1, 0001825034-2018-00277-1, 0001825034-2018-00278-1, 0001825034-2018-00279-1, 0001825034-2018-00280-1 , 0001825034-2018-00281-1, 0001825034-2018-00282-1, 0001825034-2018-00283-1, 0001825034-2018-00284-1, 0001825034-2018-00285-1, 0001825034-2018-00286-1.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT IS CONSIDERED FOR A REVISION SURGERY ON AN UNKNOWN DATE FOR AN UNKNOWN REASON. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 1

IT WAS FURTHER REPORTED THE PATIENT UNDERWENT A RIGHT KNEE REVISION 28 YEARS POST-IMPLANTATION DUE TO PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
227555 FINN ROTATING HINGE AXEL PROSTHESIS, KNEE KRO ZIMMER BIOMET, INC. N/A 717090

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| O| R