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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. UNKNOWN CUSTOM ULNAR; PROSTHESIS, ELBOW

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ZIMMER BIOMET, INC. UNKNOWN CUSTOM ULNAR; PROSTHESIS, ELBOW Back to Search Results
Model Number N/A
Device Problem Inadequacy of Device Shape and/or Size (1583)
Patient Problem No Information (3190)
Event Type  Injury  
Manufacturer Narrative
(b)(4).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 was reported that the patient underwent an initial elbow arthroplasty and was subsequently considered for revision due to unknown reasons.Surgeon requested a longer implant to be made.No additional information is available at this time.
 
Event Description
No additional information is available to report.
 
Manufacturer Narrative
The following report is being submitted to relay additional information received.Reported event was unable to be confirmed.Device history record review was unable to be performed as the item and lot number of the device involved in the event is unknown.Root cause could not 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.
 
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Brand Name
UNKNOWN CUSTOM ULNAR
Type of Device
PROSTHESIS, ELBOW
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key8564256
MDR Text Key143529620
Report Number0001822565-2019-01568
Device Sequence Number1
Product Code JDC
Combination Product (y/n)N
PMA/PMN Number
N/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,foreign,health pr
Type of Report Initial,Followup
Report Date 07/01/2019
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received04/30/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberN/A
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received06/19/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Treatment
UNKNOWN HUMERAL COMPONENT; UNKNOWN HUMERAL COMPONENT
Patient Outcome(s) Other;
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