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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. KNE-NATURAL KNEE-BEARINGS-UNK; PRSOTHESIS, KNEE

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ZIMMER BIOMET, INC. KNE-NATURAL KNEE-BEARINGS-UNK; PRSOTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Naturally Worn (2988)
Patient Problems Failure of Implant (1924); Osteopenia/ Osteoporosis (2651); Metal Related Pathology (4530)
Event Date 06/29/2023
Event Type  Injury  
Manufacturer Narrative
(b)(4).D6a: implant date - 2003.G2: foreign - australia.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch will be submitted.Multiple mdr reports were filed for this event, associated reports: 0001822565-2023-01955; 0001822565-2023-01956.
 
Event Description
It was reported the patient underwent a left knee revision approximately 20 years post implantation due to metallosis secondary to poly wear.It was reported that no further information is available.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Visual examination of the provided pictures identified sign of use.Excessive wear were seem on the both tibial plate and articular surface.Also, some wear can be seen on femur condyle.However, product was not returned and further evaluation cannot be made.The device history record was unable to be performed as the lot number of the device involved in the event is unknown.Radiographs were provided and reviewed by a health care professional.Review of the available records identified the following: advanced polyethylene wear with tibiofemoral narrowing and knee valgus as noted.Marked osteopenia.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report 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
KNE-NATURAL KNEE-BEARINGS-UNK
Type of Device
PRSOTHESIS, 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 Key17343740
MDR Text Key319283075
Report Number0001822565-2023-01957
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
N/A
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,Followup
Report Date 11/21/2023
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? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 06/29/2023
Initial Date FDA Received07/18/2023
Supplement Dates Manufacturer Received11/20/2023
Supplement Dates FDA Received11/21/2023
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) Hospitalization; Required Intervention;
Patient SexFemale
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