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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ARTICULAR SURFACE; PROSTHESIS KNEE

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ZIMMER BIOMET, INC. ARTICULAR SURFACE; PROSTHESIS KNEE Back to Search Results
Model Number N/A
Device Problems Unstable (1667); Naturally Worn (2988)
Patient Problems Erosion (1750); Failure of Implant (1924)
Event Date 10/06/2023
Event Type  Injury  
Event Description
It was reported patient underwent a revision procedure eight years post implantation due to implant wear and instability.Attempts to obtain additional information have been made; however, no more is available at this time.
 
Manufacturer Narrative
(b)(4).G2: australia.H3: reporter had indicated that product will not be returned.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Manufacturer Narrative
Reported event was unable to be confirmed due to limited information received from the customer.Visual evaluation of provided pictures shows an articular surface with a surface gouge and foreign material staining.No wear visible.Device history record (dhr) was reviewed and no discrepancies relevant to the reported event were found.A definitive root cause cannot be determined.X-ray review indicates that implant fit and alignment appear normal.Bone quality is osteopenic.There is no evidence of tibiofemoral poly wear.No abnormality is identified.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
ARTICULAR SURFACE
Type of Device
PROSTHESIS KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key18031982
MDR Text Key326873662
Report Number0001822565-2023-02978
Device Sequence Number1
Product Code MBH
UDI-Device Identifier00889024208025
UDI-Public(01)00889024208025(17)190930(10)62834530
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
K173057
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 02/13/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/30/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date09/30/2019
Device Model NumberN/A
Device Catalogue Number00595204012
Device Lot Number62834530
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received02/12/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured10/10/2014
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) Required Intervention; Hospitalization;
Patient SexFemale
Patient Weight105 KG
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