MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ARTICULAR SURFACE WITH HINGE POST EXTENSION SIZE E 12 MM HEIGHT; PROSTHESIS, KNEE

Model Number N/A

Device Problem Fracture (1260)

Patient Problems Pain (1994); Loss of Range of Motion (2032); Scar Tissue (2060); Swelling (2091); Tissue Damage (2104); Limited Mobility Of The Implanted Joint (2671)

Event Date 09/30/2019

Event Type  Injury  

Manufacturer Narrative

(b)(4).Multiple mdr reports were filed for this event, please see associated report: 0001822565-2019-04360.Concomitant medical products: femoral component size e left item# 00588001501 lot# 63384340, stem extension straight 15mm dia x 100mm length item# 00598801015 lot# 63464365.Report source: (b)(6).The product has been returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.

Event Description

It was reported that a patient was revised approximately two and half years post implantation due to implant fracture.Patient experienced left knee pain and difficulty ambulating.Left knee revision performed, noted the hinge had fractured and fragment had migrated, along with poly fracture.Patient had tendon tear repaired with anchors.There is no additional information at this time.There is no additional information at this time.

Manufacturer Narrative

This follow-up is being submitted to relay additional information.Visual examination of the returned product identified fracture hinge and bone cement is adhering to the femur.Articular surface is damaged in the anterior side.Fractured hinge was submitted for further analysis.Analysis determined that bending overload caused the fracture.The crack was suspected to be initiated near the inner diameter and propagated towards the outer diameter of the hinge.Fractured surface appear to be excessive smeared edges and biological debris.Medical records were provided and reviewed by a health care professional.Review of the available records identified the following: no complication was noted during both initial and revision surgery.The patient presented with patella tendon rupture along with pain, infra-articular serous effusion.Ct scan noted hinge fracture and metal fragments were migrated.Large amount of poly debris reaction along the anteromedial area was noted and poly was fractured along the anterior side.Scar tissues were noted.Device history record (dhr) was reviewed for deviations and/ or anomalies with no related deviations / anomalies identified.A definitive root cause cannot be determined.Per package insert 87-6203-904-23 rev c, nexgen rotating hinge knee: fracture, pain, swelling, wear is known adverse effect of this system.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

No further event information available at the time of this report.

• Brand Name: ARTICULAR SURFACE WITH HINGE POST EXTENSION SIZE E 12 MM HEIGHT
• Type of Device: PROSTHESIS, KNEE
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• MDR Report Key: 9380429
• MDR Text Key: 168222223
• Report Number: 0001822565-2019-05071
• Device Sequence Number: 1
• Product Code: KRO
• UDI-Device Identifier: 08809024199361
• UDI-Public: (01)08809024199361
• Combination Product (y/n): N
• PMA/PMN Number: K013385
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,foreig
• Type of Report: Initial,Followup
• Report Date: 04/01/2020

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 Expiration Date: 10/31/2021
• Device Model Number: N/A
• Device Catalogue Number: 00588005012
• Device Lot Number: 63516115
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 11/13/2019
• Was the Report Sent to FDA?: No
• Initial Date Manufacturer Received: 10/04/2019
• Initial Date FDA Received: 11/26/2019
• Supplement Dates Manufacturer Received: 03/30/2020
• Supplement Dates FDA Received: 04/01/2020
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Treatment: SEE H10
• Patient Outcome(s): Hospitalization; Required Intervention
• Patient Weight: 120