FDA Adverse Event Injury Summary report: N

UNK TM BASEPLATE

MDR report key: 9934421 · Received April 8, 2020

Report

Report Number
0001822565-2020-01244
Event Type
Injury
Date Received
April 8, 2020
Report Date
April 1, 2020
Manufacturer
ZIMMER BIOMET, INC.
Product Code
HRS
PMA / PMN Number
NI
Removal / Correction Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). REPORT SOURCE: MIA S. HAGEN, MD, SACHIN ALLAHABADI, MD, ALAN L. ZHANG, MD, BRIAN T. FEELEY, MD, TREVOR GRACE, MD, C. BENJAMIN MA, MD (2019). A RANDOMIZED SINGLE-BLINDED TRIAL OF EARLY REHABILITATION VERSUS IMMOBILIZATION AFTER REVERSE TOTAL SHOULDER ARTHROPLASTY, JOURNAL OF SHOULDER AND ELBOW ARTHROPLASTY. VOLUME 29, ISSUE 3, P442-450, HTTPS://DOI.ORG/10.1016/J.JSE.2019.10.005. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001822565-2020-01321. NO PRODUCT WAS RETURNED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. UNABLE TO PERFORM A COMPATIBILITY CHECK. MEDICAL RECORDS WERE NOT PROVIDED. PART AND LOT IDENTIFICATION ARE NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS, NEITHER WERE PROVIDED. A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED. IF ANY FURTHER INFORMATION WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS..

Description of Event or Problem · 1

IT WAS REPORTED IN A STUDY THAT ONE PATIENT WITHIN THE DELAYED-THERAPY GROUP TO HAVE A PERIPROSTHETIC FRACTURE AT ONE YEAR POST-OPERATIVELY. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
404666 UNK TM BASEPLATE PROSTHESIS, EXTREMITIES HRS ZIMMER BIOMET, INC. NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other