FDA Adverse Event Injury Summary report: N

OXFORD UNI KNEE

MDR report key: 9491136 · Received December 17, 2019

Report

Report Number
MW5091739
Event Type
Injury
Date Received
December 17, 2019
Date of Event
March 12, 2019
Report Date
December 14, 2019
Manufacturer
ZIMMER BIOMET CANADA DFE
Product Code
JWH
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KS, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

OXFORD PARTIAL KNEE DISLOCATED AND A PIECE OF CEMENT CAUSED A GROOVE IN GOOD SIDE OF KNEE. HAD A TOTAL KNEE REPLACEMENT AS A RESULT, 2 YRS TO THE MONTH AFTER PARTIAL. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1278808 OXFORD UNI KNEE PROSTHESIS, KNEE, FEMOROTIBIAL UNICOMPARTMENTAL, SEMI-CONSTRAINED METAL/POLYMER, JWH ZIMMER BIOMET CANADA DFE
1278809 BONE CEMENT BONE CEMENT LOD UNK

Patients

Seq Age Sex Outcome Treatment
1 48 YR Hospitalization| O| S