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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. AVL ROTATING HINGE YOKE 60MM X 16MM; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. AVL ROTATING HINGE YOKE 60MM X 16MM; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Mechanical Problem (1384)
Patient Problem Failure of Implant (1924)
Event Type  Injury  
Manufacturer Narrative
(b)(4).Concomitant devices - avl hinge lock ring catalog #: rd119120 lot #: 336560, avl rotating hinge knee axle catalog #: rd119125 lot #: 406770, lombardi hinge knee femoral component 60mm right with porous coat catalog #:  cp111797 lot #: 606610, avl rotating hinged knee 60mm non-modular tibial base plate catalog #: cp111798 lot #: 569680, finn rotating hinged knee modular bond stem size 11.5mm x 152mm catalog #: cp111799 lot #: 569510, orthopedic salvage system locking pin catalog #: 150478 lot #: 223150, lombardi hinge femoral bushing catalog #: rd119021 lot #: 859300, avl rotating hinge knee tibial bushing set catalog #: rd119111 lot #: 411130, avl rotating hinge bearing 60mm x 16mm catalog #: rd119072 lot #: 395040, avl rotating hinged knee 5 degree hyperflexion bearing set 60mm x 12mm & 14mm & 16mm catalog #: cp111836 lot #: 569470.The complainant has indicated that the product will not be returned to zimmer biomet for investigation, as the device remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this patient; please see all reports associated with this event: 0001825034-2023-00482, 0001825034-2023-00483.
 
Event Description
It was reported that the patient is being considered for a right knee arthroplasty revision approximately twenty years post-operatively to address component failure; however, the extent and nature of the failure is unknown.Attempts have been made, however, no additional information is available.
 
Manufacturer Narrative
This follow-up report is being submitted to relay corrected information.Upon receipt of additional information, it was identified that this device did not cause or contribute to the reported event.
 
Event Description
Upon receipt of additional information, it was identified that this device did not cause or contribute to the reported event.
 
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Brand Name
AVL ROTATING HINGE YOKE 60MM X 16MM
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key16501336
MDR Text Key310860202
Report Number0001825034-2023-00481
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K002757
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative,Distributor
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 04/12/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/08/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue NumberRD119132
Device Lot Number350160 
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received03/23/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexPrefer Not To Disclose
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