FDA Adverse Event Injury Summary report: N

VNGD PS OPEN INTL FEM RT 70

MDR report key: 8078366 · Received November 16, 2018

Report

Report Number
0001825034-2018-10763
Event Type
Injury
Date Received
November 16, 2018
Date of Event
October 2, 2018
Report Date
August 15, 2019
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
K171054
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
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. REPORTED ISSUES ARE RELATED TO THE PROCEDURE AND ARE NOT ABNORMAL TO THE PROCEDURE. NO FAILURE DETECTED WITH THE DEVICES. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL KNEE ARTHROPLASTY AND SUFFERED DELAYED WOUND HEALING APPROXIMATELY TWO (2) MONTHS AFTER POST INITIAL SURGERY AND UNDERWENT WOUND DEBRIDEMENT. SUBSEQUENTLY THE PATIENT EXPERIENCE DELAYED WOUND HEALING TWO (2) MONTHS POST WOUND DEBRIDEMENT AND AGAIN UNDERWENT A WOUND DEBRIDEMENT PROCEDURE. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative · 1

(B)(4). (B)(6). CONCOMITANT MEDICAL PRODUCTS- PN: 141256 LN: 2018010134 POLISHED FINNED TIB TRAY 83MM. 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.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT SUFFERED DELAYED WOUND HEALING APPROXIMATELY 2 MONTHS AFTER INITIAL SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
916762 VNGD PS OPEN INTL FEM RT 70 KNEE, PROSTHESIS JWH ZIMMER BIOMET, INC. N/A J6183609

Patients

Seq Age Sex Outcome Treatment
1 69 YR Hospitalization| R