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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER, INC. UNKNOWN COONRAD-MORREY IMPLANT ELBOW PROSTHESIS

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ZIMMER, INC. UNKNOWN COONRAD-MORREY IMPLANT ELBOW PROSTHESIS Back to Search Results
Device Problem Insufficient Information (3190)
Patient Problem Muscle Weakness (1967)
Event Type  Injury  
Manufacturer Narrative
Peach et al. "two-stage revision for the treatment of the infected total elbow arthroplasty. " journal title. 95-b:1681-1686. No device or photos were received; therefore the condition of the device is unknown. Device history records cannot be reviewed since the lot number is unknown. This device is used for treatment. Product history search cannot be completed since the lot number is unknown. It is unknown whether the components were implanted with the correct fit and orientation as per the surgical technique. A definite root cause cannot be determined with the information provided. Initial reporter - the article was written by c. A. Peach, s. Nicoletti, t. M. Lawrence and d. Stanley.
 
Event Description
It is reported in a journal article that one patient required non-operative treatment due to triceps weakness that developed within twenty-four months following elbow arthroplasty. No further information is availabe.
 
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Brand NameUNKNOWN COONRAD-MORREY IMPLANT
Type of DeviceELBOW PROSTHESIS
Manufacturer (Section D)
ZIMMER, INC.
1800 west center street
warsaw IN 46580
Manufacturer (Section G)
ZIMMER, INC.
1800 west center street
warsaw IN 46580
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key6325452
MDR Text Key67235929
Report Number0001822565-2017-00688
Device Sequence Number1
Product Code JDC
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
PN/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation
Type of Report Initial
Report Date 02/07/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/13/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received01/16/2017
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: 02/13/2017 Patient Sequence Number: 1
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