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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER GMBH ULNA GSB-III GSB ELBOW

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ZIMMER GMBH ULNA GSB-III GSB ELBOW Back to Search Results
Catalog Number UNKNOWN
Device Problem Insufficient Information (3190)
Patient Problem Pulmonary Embolism (1498)
Event Date 02/03/2016
Event Type  Injury  
Manufacturer Narrative
As the case at hand was taken from a journal article it is not suspected that the device or additional information is being submitted for review. A technical investigation was not possible to perform, as the devices were not at hand for investigation. However, based on the available information the investigation was conducted with outcome as follows. Dhr review: as no lot numbers were provided for the devices, the device history records could not be reviewed. Compatibility check: the compatibility check could not be performed as only one product was reported to us. The product compatibility check is not relevant for one product only. Review of incoming information: a journal article was received. It was reported that patient had a pulmonary embolism after 6 months from pimary surgery devices analysis: the device analysis could not be performed as no product was available for investigation. Neither x-rays, operative notes, office visit notes, nor devices or photos of the explanted implant(s) were received; therefore the condition of the component(s) is unknown. Patient factors that may affect the performance of the components such as bone quality, activity level, type of activity (low impact vs. High impact), and relevant medical history are unknown. Adherence to rehabilitation protocol was unknown. It was therefore very difficult to identify if the soruce of the reported embolism is connected with the implanted product. In conclusion, due to significant lack of information, it was impossible to perform a meaningful analysis of the reported event. However, all possible causes related to the issues reported are listed in dfmea. Based on the given information and the results of the investigation, the complaint could not be confirmed as the alleged failure could not be identified or reproduced. The need for corrective measures is not indicated and zimmer (b)(4) considers this case as closed. Zimmer's reference number of this file is (b)(4).
 
Event Description
A journal article of shoulder and elbow surgery was received. The journal reported that one patient developed a pulmonary embolism after discharge from the hospital. It was mentioned that the patient was treated with warfarin for 6 months uneventfully. The received journal was "the long-term outcome of the gschwend-scheier-bĈler iii elbow replacement" (ewan bigsby, mark kemp, nashat siddiqui, neil blewitt, frcs - tr orth).
 
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Brand NameULNA GSB-III
Type of DeviceGSB ELBOW
Manufacturer (Section D)
ZIMMER GMBH
sulzerallee 8
winterthur, 8404
SZ 8404
Manufacturer Contact
kevin escapule
p.o. box 708
warsaw, IN 46581-0708
5742676131
MDR Report Key5465892
MDR Text Key39198952
Report Number9613350-2016-00400
Device Sequence Number1
Product Code JDC
Combination Product (y/n)N
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,literature
Reporter Occupation Physicist
Type of Report Initial
Report Date 02/03/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/29/2016
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Device Catalogue NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received02/03/2016
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

Patient Treatment Data
Date Received: 02/29/2016 Patient Sequence Number: 1
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