FDA Adverse Event Injury Summary report: N

UNKNOWN LINER

MDR report key: 8459922 · Received March 28, 2019

Report

Report Number
3002806535-2019-00322
Event Type
Injury
Date Received
March 28, 2019
Report Date
March 28, 2019
Manufacturer
BIOMET UK LTD.
Product Code
KWA
PMA / PMN Number
NI
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). REPORT SOURCE, FOREIGN - EVENT OCCURRED IN (B)(6). "UNCEMENTED HEMIARTHROPLASTY FOR FRACTURED NECK OF FEMUR: A CONSECUTIVE SERIES WITH A SINGLE PROSTHESIS" BY JONATHAN R.B. HUTTT, OSAMA AWELD, ARSHAD KHALEEL (2011). DOI 10.1007/S00590-010-0742-1. THE PRODUCT AND LOT NUMBER IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY AND THE COMPLAINT HISTORY WAS NOT PROVIDED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT CONCLUSION AS TO THE CAUSE OF THE EVENT. 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. (B)(4). DEVICE EVALUATED BY MFR: PRODUCT NOT RETURNED.

Description of Event or Problem · 1

IT HAS BEEN REPORTED IN A JOURNAL ARTICLE THAT 1 PATIENT UNDERWENT HIP REVISION SURGERY DUE TO DUE TO RECURRENT DISLOCATIONS CAUSED BY POOR QUALITY SOFT TISSUES TWO MONTHS AFTER INITIAL SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
253100 UNKNOWN LINER HIP PROSTHESIS KWA BIOMET UK LTD. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening| R