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 |