BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN LPS FEMORAL COMPONENT

    MDR report key: 7751136 · Received August 6, 2018

    Report

    Report Number
    3007963827-2018-00113
    Event Type
    Injury
    Date Received
    August 6, 2018
    Report Date
    May 16, 2019
    Manufacturer
    ZIMMER ORTHOPAEDIC MFG. LTD.
    Product Code
    NJL
    PMA / PMN Number
    PP060037
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 0

    THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT THIS TYPE OF EVENT CAN OCCUR AND RISKS ARE ADDRESSED IN RISK DOCUMENTATION. ROOT CAUSE WAS UNABLE TO BE DETERMINED. A SUMMARY OF THE INVESTIGATION HAS BEEN SENT TO THE COMPLAINANT. 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). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001822565-2018-03642, 3007963827-2018-00113, 0002648920-2018-00557. (B)(4). CONCOMITANT MEDICAL PRODUCTS: NG STD ALL-POLY PATELLA CAT: 00-5972-065-35 LOT: 63171828, NEXGEN ARTICULAR SURFACE CAT: 00596203212 LOT: 62954001, NG PS PRE STEM TIBIA PLATE CAT: 00-5980-037-02 LOT: 63111020, PALACOS BONE CEMENT CAT: 66022663 LOT: 80494433. IT IS UNKNOWN IF PRODUCT WILL BE RETURNING TO ZIMMER BIOMET AND 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. PRODUCT NOT RETURNED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PATIENT REPORTS THAT THE IMPLANT IS LOOSE AND MAKES NOISE. A REVISION PROCEDURE HAS NOT OCCURRED AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    595448 NEXGEN LPS FEMORAL COMPONENT KNEE, PROSTHESIS NJL ZIMMER ORTHOPAEDIC MFG. LTD. 63210555

    Patients

    Seq Age Sex Outcome Treatment
    1 Other