FDA Adverse Event Injury Summary report: N

M2A 38MM MOD HD -6MM NK

MDR report key: 10257388 · Received July 10, 2020

Report

Report Number
0001825034-2020-02695
Event Type
Injury
Date Received
July 10, 2020
Date of Event
June 22, 2020
Report Date
March 29, 2022
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LZO
PMA / PMN Number
K062997
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. 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.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. D11: TAPERLOC FEMORAL POROUS COATED 103201 LOT# 931140. M2A 38MM X48 RD118848 LOT#982610. 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.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. 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 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 REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS CONFIRMED BY REVIEW OF MEDICAL RECORDS AND COMPLAINT SAMPLE EVALUATION. DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE EVENT WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. AN M2A 38MM MOD HD -6MM NK, PART # 11-173660 FROM LOT 521480, WAS RETURNED AND EVALUATED AGAINST THE COMPLAINT. VISUAL INSPECTION FOUND DINGS ON THE RIM OF THE HEAD. DARK DEBRIS IS PRESENT INSIDE THE TAPER. THE OUTER RADIUS IS SCRATCHED AND COVERED IN A DRIED LIGHT COLORED FILM. THE ADDITIONAL INFORMATION DOES NOT CHANGE THE OUTCOME OF THE PREVIOUS INVESTIGATION. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). REPORTED EVENT WAS CONFIRMED BY REVIEW OF MEDICAL RECORDS. DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE EVENT WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. MEDICAL RECORDS INDICATE THAT THE PATIENT UNDERWENT AN INITIAL LEFT THA DUE TO OSTEOARTHRITIS; NO INTRAOPERATIVE COMPLICATIONS WERE NOTED. PATIENT WAS REVISED DUE TO AN IDENTIFIED MASS. PATIENT DEVELOPED SWELLING AND LARGE SOFT TISSUE TUMOR CREATING VASCULAR COMPROMISE AND VENOUS THROMBOSIS REMOVED 3 MONTHS PRIOR BY VASCULAR SURGERY TEAM. STEM AND CUP WERE WELL FIXED; ELECTED NOT TO REVISE HOWEVER OSTEOLYTIC REGRESSION OF SUPPORTIVE BONE OF BOTH IMPLANTS. NO ABNORMAL FINDINGS OF TRUNNION AND ARTICULAR SURFACE. PSEUDOCAPSULE NOTED POSTERIORLY, DENSE FIBROUS TISSUE EXCISED AND SENT TO PATHOLOGY. HEAD WAS EXPLANTED AND REPLACED WITH DUAL ARTICULATION. NO INTRAOPERATIVE COMPLICATIONS NOTED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED PATIENT UNDERWENT LEFT HIP REVISION APPROXIMATELY SEVENTEEN YEARS POST IMPLANTATION DUE TO A PSUEDOTUMOR, SWELLING, ALTR, DVT, AND OSTEOLYSIS. DURING THE PROCEDURE HEAD, CUP AND STEM COMPONENTS WERE REMOVED AND REPLACED WITH A DUAL MOBILITY SYSTEM. NO ADDITIONAL INFORMATION IS AVAILABLE.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative · 1

(B)(4). IMPLANT DATE: (B)(6) 2003. CONCOMITANT MEDICAL DEVICES: ITEM #: UNKNOWN, UNKNOWN STEM, LOT #: UNKNOWN; ITEM #: UNKNOWN, UNKNOWN CUP, LOT #: UNKNOWN. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE PRODUCT WAS RETURNED TO THE CUSTOMER AND THE LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034 - 2020 - 02696 CUP, 0001825034 - 2020 - 02697 STEM.

Description of Event or Problem · 1

IT WAS REPORTED PATIENT UNDERWENT LEFT HIP REVISION APPROXIMATELY SEVENTEEN YEARS POST IMPLANTATION DUE TO A MASS. DURING THE PROCEDURE HEAD, CUP AND STEM COMPONENTS WERE REMOVED AND REPLACED WITH A DUAL MOBILITY SYSTEM. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
724071 M2A 38MM MOD HD -6MM NK PROSTHESIS, HIP LZO ZIMMER BIOMET, INC. N/A 521480
724072 M2A 38MM MOD HD -6MM NK PROSTHESIS, HIP LZO ZIMMER BIOMET, INC. N/A 521480

Patients

Seq Age Sex Outcome Treatment
1 Female Hospitalization| R SEE H10| SEE H10