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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. VGXP XP E1 TIB BRG LL 11X71; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. VGXP XP E1 TIB BRG LL 11X71; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Adhesion(s) (1695); Scar Tissue (2060); Limited Mobility Of The Implanted Joint (2671)
Event Date 08/23/2019
Event Type  Injury  
Manufacturer Narrative
(b)(4).Concomitant medical products: item#: 195924; vgxp intlk femoral lt 70; lot#: 057900, item#: 195557; vgxp as e1 tib brg lm/rl 10x75; lot#:598480r, item#: 184786; series a pat thn 34 3 peg; lot#: 756240.Reported event was unable to be confirmed due to limited information received from the customer.This complaint was not confirmed.Device history record (dhr) reviewed and no discrepancies related to the reported event were found.A definitive root cause cannot be determined.My mobility records were provided and reviewed by a healthcare professional.Review found patient was full weight bearing and no pain (b)(6) 2019.Mua performed on (b)(6) 2019 due to stiffness.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.Multiple mdr reports were filed for this event, please see associated reports: 0001825034-2020-00769.0001825034-2020-00771.0001825034-2020-00772.
 
Event Description
It was reported the patient was experiencing stiffness and had a mua performed on his left knee approximately four months post-op.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
Udi : (b)(4).This follow-up report is being submitted to relay additional information.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
Reported event was confirmed by review of medical records.Device history record (dhr) was reviewed and no discrepancies related to the reported event were found.Medical records were provided and reviewed by a healthcare professional.Review found patient had full extension with flexion limited to 90 degrees.Mua performed on (b)(6) 2019 due to stiffness and arthrofibrosis.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.
 
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Brand Name
VGXP XP E1 TIB BRG LL 11X71
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key9959609
MDR Text Key187688394
Report Number0001825034-2020-01672
Device Sequence Number1
Product Code MBH
Combination Product (y/n)N
PMA/PMN Number
K132873
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup,Followup
Report Date 09/02/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/14/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date07/28/2019
Device Model NumberN/A
Device Catalogue Number195816
Device Lot Number003840
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received09/02/2020
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Other;
Patient Weight104
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