ALL POLY PATELLA CEMENTED 35 MM DIAMETER N/A 42540000035

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-25 for ALL POLY PATELLA CEMENTED 35 MM DIAMETER N/A 42540000035 manufactured by Zimmer Manufacturing B.v..

Event Text Entries

[185936791] (b)(4). Concomitant medical products: 00599601451 - femoral component - 64160648, 00599600312 - lps all poly tib - 64253704. Procedural related complications are influenced by the 'type of surgery, patients pre-existing comorbid state, and perioperative management. ' low o2/oxygen levels in the blood stream is a known post-operative complication due to administration of anesthesia during the procedure. If the complication occurs, this should resolve within 24-48 hours? Postoperative. Low o2/oxygen levels can also be impacted by the administration of narcotics during the post recovery phase. Narcotic side effects decrease patient? S alertness and breathing rate, causing the patient to have shallow breathing impacting the amount of oxygen being supplied to the body. Multiple mdr reports were filed for this event, please see associated reports: 3007963827-2020-00095. 0001822565-2020-01106.
Patient Sequence No: 1, Text Type: N, H10


[185936792] It was reported that the patient underwent an initial total left knee arthroplasty. During the initial hospital stay, it was reported the patient experienced low oxygen saturation leading to prolonged hospitalization for treatment. The patient was sent home on oxygen therapy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0002648920-2020-00206
MDR Report Key9880024
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-03-10
Date Mfgr Received2020-03-09
Device Manufacturer Date2018-06-27
Date Added to Maude2020-03-25
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 MANUFACTURING B.V.
Manufacturer StreetTURPEAUX INDUSTRIAL PARK ROUTE #1 KM 123.4 BLDG #1
Manufacturer CityMERCEDITA PR 00715
Manufacturer CountryUS
Manufacturer Postal Code00715
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameALL POLY PATELLA CEMENTED 35 MM DIAMETER
Generic NamePROSTHESIS, KNEE
Product CodeMBH
Date Received2020-03-25
Model NumberN/A
Catalog Number42540000035
Lot Number64087383
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER MANUFACTURING B.V.
Manufacturer AddressTURPEAUX INDUSTRIAL PARK ROUTE #1 KM 123.4 BLDG #1 MERCEDITA PR 00715 US 00715


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2020-03-25

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