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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. UNKNOWN PPK SPACER BLOCK; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. UNKNOWN PPK SPACER BLOCK; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Limited Mobility Of The Implanted Joint (2671)
Event Date 06/11/2018
Event Type  Injury  
Manufacturer Narrative
Further information has been requested but not yet received.Concomitant medical products: unknown ppk size h tibia catalog#: ni; lot#: ni, unknown ppk tibial insert catalog#: ni; lot#: ni.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.
 
Event Description
It was reported that during a knee procedure the surgeon was concerned with the femoral resection and tight flexion space compared to extension.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.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.
 
Manufacturer Narrative
The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Reported event was unable to be confirmed due to limited information received from the customer.Device history record (dhr) review was unable to be performed as the lot number of the device involved in the event is unknown.Root cause attributed to use error as the incorrect size of saw blade was used.A summary of the investigation was sent to the complainant conveying proper surgical technique and use of the device.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.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
UNKNOWN PPK SPACER BLOCK
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key7663272
MDR Text Key113161102
Report Number0001825034-2018-04445
Device Sequence Number1
Product Code HSX
Combination Product (y/n)N
PMA/PMN Number
PK161592
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor
Type of Report Initial,Followup,Followup,Followup
Report Date 04/23/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue NumberUNKNOWN
Other Device ID NumberN/A
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 06/07/2018
Initial Date FDA Received07/05/2018
Supplement Dates Manufacturer Received07/05/2018
03/11/2019
04/17/2019
Supplement Dates FDA Received08/03/2018
04/08/2019
04/23/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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