MAUDE Adverse Event Report: BIOMET UK LTD. OXF ANAT BRG LT X-SM SZ 4 PMA XSML SZ 4; KNEE PROSTHESIS

Model Number N/A

Device Problem Component Incompatible (1108)

Patient Problem No Information (3190)

Event Date 03/20/2019

Event Type  Injury  

Manufacturer Narrative

(b)(4).Concomitant medical products: medical product:oxf uni cmntls tib sz c lm, catalog #: 166574, lot #: 6445866, medical product: oxford ph3 cementless fem sz s, catalog #:154925, lot #:6407586.Report source: (b)(6).The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.

Event Description

It has been reported by the hospital that a patient underwent an initial partial knee replacement procedure.Subsequently, after the surgery, upon implant sheet inspection, the sales representative has noticed that a size small femoral component had been used with an extra small meniscal bearing.

Manufacturer Narrative

(b)(4).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) was reviewed and no discrepancies were found.Root cause was unable to be determined as the necessary information to adequately investigate the reported event was not provided.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 has been reported by the hospital that a patient underwent an initial partial knee replacement procedure.Subsequently, after the surgery, upon implant sheet inspection, the sales representative has noticed that a size small femoral component had been used with an extra small meniscal bearing.

• Brand Name: OXF ANAT BRG LT X-SM SZ 4 PMA XSML SZ 4
• Type of Device: KNEE PROSTHESIS
• Manufacturer (Section D): BIOMET UK LTD.; waterton industrial estates; bridgend CF31 3XA; UK CF31 3XA
• MDR Report Key: 8522500
• MDR Text Key: 142202537
• Report Number: 3002806535-2019-00375
• Device Sequence Number: 1
• Product Code: NRA
• Combination Product (y/n): N
• PMA/PMN Number: P010014
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: foreign,health professional,o
• Type of Report: Initial,Followup
• Report Date: 07/12/2019

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/17/2019
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Expiration Date: 04/19/2022
• Device Model Number: N/A
• Device Catalogue Number: 159791
• Device Lot Number: 6034522
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 07/12/2019
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization; Required Intervention