FDA Adverse Event Death Summary report: N

UNKNOWN NEXGEN BEARING

MDR report key: 7778943 · Received August 13, 2018

Report

Report Number
0001822565-2018-03885
Event Type
Death
Date Received
August 13, 2018
Date of Event
October 9, 2017
Report Date
September 12, 2018
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. 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.

Additional Manufacturer Narrative · 1

(B)(4). INITIAL REPORTER: SEAN M. KEARNS, MD, BRIAN M. CULP, MD, DANIEL D. BOHL, MD, MPH, SCOTT M. SPORER, MD, CRAIG J. DELLA VALLE, MD, BRETT R. LEVINE, MD, MS "ROTATING HINGE IMPLANTS FOR COMPLEX PRIMARY AND REVISION TOTAL KNEE ARTHROPLASTY" THE JOURNAL OF ARTHROPLASTY 33 (2018) 766-770. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. DEVICE WAS NOT RETURNED. 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 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001822565-2018-03889, 0001822565-2018-03892. REMAINS IMPLANTED.

Description of Event or Problem · 1

IT WAS REPORTED IN THE JOURNAL ARTICLE THAT THIRTEEN PATIENTS DIED PRIOR TO THE TWO-YEAR FOLLOW-UP. THE CAUSE OF DEATHS ARE NOT LISTED HOWEVER; THERE WERE NO KNOWN IMPLANT-RELATED COMPLICATIONS. NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
620730 UNKNOWN NEXGEN BEARING PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. NI NI

Patients

Seq Age Sex Outcome Treatment
1 Death