FDA Adverse Event Injury Summary report: N

NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE FEMORAL COMPONENT

MDR report key: 952629 · Received November 21, 2007

Report

Report Number
1822565-2007-00404
Event Type
Injury
Date Received
November 21, 2007
Date of Event
August 24, 2007
Report Date
October 24, 2007
Manufacturer
ZIMMER, INC.
Product Code
HRZ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: LOOSENING OF THE HINGE POST EXTENSION CAN RESULT IF IT IS UNDER-TORQUED INITIALLY BECAUSE TIGHTENING OF THE HINGE POST EXTENSION TO THE RECOMMENDED TORQUE OF 130 IN. LB. IS CRITICAL FOR THE PROPER FUNCTIONING OF THE PARTS. CAUSE CANNOT BE DEFINITIVELY DETERMINED. EVALUATION: ARTICULAR SURFACE EXHIBITS GOUGING DAMAGE TO THE CONDYLES AND DEFORMATION DAMAGE AROUND THE THRU HOLE ON THE BACKSIDE. THE HINGE POST EXTENSION EXHIBITS BURNISHING AND SCRATCHING FOR THE SHAFT AND THE THREAD HAVE MINOR DEFORMATION. DEVICE HISTORY RECORDS INDICATE DEVICE MANUFACTURED TO SPECIFICATION. DEVICE MEETS PRINT SPECIFICATION.

Description of Event or Problem · 1

IT IS REPORTED THAT THE DEVICE WAS IMPLANTED IN 2006. APPROXIMATELY 1.5 YEARS POST-OP, THE LOCKING PIN AT THE ROTATING HINGE KNEE HAD LOOSENED. THE DEVICE WAS REVISED IN 2007.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE FEMORAL COMPONENT KNEE PROSTHESIS HRZ ZIMMER, INC. NA 07880625

Patients

Seq Age Sex Outcome Treatment
1 67 YR Hospitalization| R