ULNAR COMPONENT N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-22 for ULNAR COMPONENT N/A manufactured by Zimmer Biomet, Inc..

Event Text Entries

[100922721] Cmp-(b)(4). Multiple mdr reports were filed for this event. Please also see associated report(s): 0001822565-2018-00919. Report source: literature: barco, r. , streubel, p. N. , morrey, b. F. , & sanchez-sotelo, j. (2017). Total elbow arthroplasty for distal humeral fractures. The journal of bone and joint surgery, 99(18), 1524-1531. Doi:10. 2106/jbjs. 16. 01222. Reported event was unable to be confirmed as part number / lot number of device involved in the incident is unknown. Device history record (dhr) 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. 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. Device remains implanted.
Patient Sequence No: 1, Text Type: N, H10


[100922722] It was reported in the journal article that five elbows exhibited bushing wear. No further information has been made available at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001822565-2018-00918
MDR Report Key7290661
Date Received2018-02-22
Date of Report2018-03-02
Date of Event2017-09-20
Date Mfgr Received2018-03-01
Date Added to Maude2018-02-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
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 Report0

Device Details

Brand NameULNAR COMPONENT
Generic NamePROSTHESIS, EXTREMITY
Product CodeKXE
Date Received2018-02-22
Model NumberN/A
Catalog NumberNI
Lot NumberNI
ID NumberN/A
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
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
10 2018-02-22

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