MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-01-02 for INTERCHANGEABLE HUMERAL ASSEMBLY FOR CEMENTED USE ONLY REGULAR N/A 32810502604 manufactured by Zimmer Biomet, Inc..
[182911807]
(b)(4). Concomitant medical products: item#: 32810505302; interchangeable ulnar assembly; lot#: 60577501. Report source: foreign: event occurred in uk. The product will not be returned to zimmer biomet for investigation. The investigation is in process. Once the investigation has been completed, a follow-up mdr will be submitted. Remains implanted.
Patient Sequence No: 1, Text Type: N, H10
[182911808]
It was reported patient has been indicated for revision due to periprosthetic fracture of the distal humerus. No revision has been reported to date.? Attempts to obtain additional information have been made; however, no more is available at this time.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 0001822565-2019-05405 |
MDR Report Key | 9539663 |
Report Source | COMPANY REPRESENTATIVE,FOREIG |
Date Received | 2020-01-02 |
Date of Report | 2020-03-17 |
Date Mfgr Received | 2020-03-12 |
Device Manufacturer Date | 2006-08-21 |
Date Added to Maude | 2020-01-02 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. CHRISTINA ARNT |
Manufacturer Street | 56 E. BELL DR. |
Manufacturer City | WARSAW IN 46582 |
Manufacturer Country | US |
Manufacturer Postal | 46582 |
Manufacturer Phone | 5745273773 |
Manufacturer G1 | ZIMMER BIOMET, INC. |
Manufacturer Street | 56 E. BELL DRIVE |
Manufacturer City | WARSAW IN 46582 |
Manufacturer Country | US |
Manufacturer Postal Code | 46582 |
Single Use | 3 |
Previous Use Code | 3 |
Removal Correction Number | N/A |
Event Type | 3 |
Type of Report | 3 |
Brand Name | INTERCHANGEABLE HUMERAL ASSEMBLY FOR CEMENTED USE ONLY REGULAR |
Generic Name | PROSTHESIS, EXTREMITIES |
Product Code | JDC |
Date Received | 2020-01-02 |
Model Number | N/A |
Catalog Number | 32810502604 |
Lot Number | 60512708 |
Device Expiration Date | 2011-08-31 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ZIMMER BIOMET, INC. |
Manufacturer Address | 56 E. BELL DRIVE WARSAW IN 46582 US 46582 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2020-01-02 |