inforMED
InjuryMBV

BIOMET CC I-BEAM TRAY

Received Feb 18, 2020 · Event occurred Jun 4, 2019

Report 0001825034-2020-00739 · MDR key 9719740

Device

Generic name

Prosthesis, Knee

Model number

N/A

Catalog number

141226

Lot number

J6475328

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

45 YR

  • Adhesion(s)
  • Pain
  • Swelling
  • Limited Mobility Of The Implanted Joint
  • Adhesion(s)
  • Pain
  • Swelling
  • Limited Mobility Of The Implanted Joint

Narrative

Additional Manufacturer Narrative

(B)(4). CONCOMITANT MEDICAL PRODUCTS: VANGUARD CR ILOK FEM-RT 70 CATALOG # 183012 LOT # J6452368, VNGD ANT STBLZD BRG 14X83 CATALOG # 189124 LOT # 748850. THE COMPLAINANT HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED BECAUSE IT REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. MULTIPLE MDR REPORTS WERE FILLED FOR THIS EVENT: 0001825034-2020-00735. 0001825034-2020-00738. REMAINS IMPLANTED.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT HAD A TOTAL KNEE ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT EXPERIENCED KNEE STIFFNESS, PAIN SWELLING, AND ARTHROFIBROSIS THAT RESULTED IN A MANIPULATION UNDER ANESTHESIA. ATTEMPT FOR FURTHER INFORMATION HAS BEEN MADE, BUT NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem

UPON RECEIPT OF ADDITIONAL INFORMATION, IT WAS DETERMINED THAT THE INITIAL REPORT WAS SUBMITTED IN ERROR AND SHOULD BE VOIDED. IT IS NOW VERIFIED THAT THIS DEVICE IS RELATED TO THE EVENT.

Additional Manufacturer Narrative

UPON RECEIPT OF ADDITIONAL INFORMATION, IT WAS DETERMINED THAT THE INITIAL REPORT WAS SUBMITTED IN ERROR AND SHOULD BE VOIDED. IT IS NOW VERIFIED THAT THIS DEVICE IS RELATED TO THE EVENT.