UNKNOWN EXTREMITY N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,literatur report with the FDA on 2017-10-12 for UNKNOWN EXTREMITY N/A manufactured by Zimmer Biomet, Inc..

Event Text Entries

[89146061] Zimmer biomet complaint: (b)(4). Reported event was unable to be confirmed as part number and lot number of the device involved in the incident is unknown. Device history record review was unable to be performed as the lot number of the device involved in the event is unknown. Root cause was unable to 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. Clement, n. D. , mrcs ed, mathur, k. , frcs orth, & colling, r. , rcn. (2010). The metal-backed glenoid component in rheumatoid disease: eight-to fourteen-year follow-up. Journal of shoulder and elbow surgery, 19, 749-756.
Patient Sequence No: 1, Text Type: N, H10


[89146062] It was reported that ten (10) patients lost to follow-up or died
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001825034-2017-08181
MDR Report Key6944733
Report SourceHEALTH PROFESSIONAL,LITERATUR
Date Received2017-10-12
Date of Report2017-10-07
Date Mfgr Received2014-09-16
Date Added to Maude2017-10-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. CHRISTINA ARNT
Manufacturer Street56 E. BELL DR.
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1ZIMMER BIOMET, INC.
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal Code46582
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameUNKNOWN EXTREMITY
Generic NameEXTREMITY PROSTHESIS
Product CodeKYM
Date Received2017-10-12
Model NumberN/A
Catalog NumberUNKNOWN EXTREMITY
Lot NumberUNK
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerZIMMER BIOMET, INC.
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582

Device Sequence Number: 1

Brand NameUNKNOWN EXTREMITY
Generic NameEXTREMITY PROSTHESIS
Product CodeKWA
Date Received2017-10-12
Model NumberN/A
Catalog NumberUNKNOWN EXTREMITY
Lot NumberUNK
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER BIOMET, INC.
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2017-10-12

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