FDA Adverse Event Injury Summary report: N

E1 44-41 RTNV +3 HMRL BRG

MDR report key: 12358685 · Received August 24, 2021

Report

Report Number
0001825034-2021-02487
Event Type
Injury
Date Received
August 24, 2021
Date of Event
November 1, 2019
Report Date
November 10, 2021
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KWS
PMA / PMN Number
K193373
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2021-02486-3. REVIEW OF THE DEVICE HISTORY RECORD(S) IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. THE ROOT CAUSE HAS NOT CHANGED FROM THE PREVIOUS INVESTIGATION. 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2021-02486-2. D10: MEDICAL PRODUCTS: ITEM#: (B)(6), COMP RVRS SHLDR GLNSP STD 41MM; LOT#: 200500. ITEM#: (B)(6), COMP RVS TRAY CO 44MM; LOT#: 687880. ITEM#: (B)(6), COMP PRIMARY STEM 13MM MICRO; LOT#: 243540. 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

CMP-(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED: UPDATED: B4; B5; G3; G6; H1; H2; H6 CORRECTED: A1 NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS; LOT IDENTIFICATION WAS NOT PROVIDED. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT 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.

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). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034-2021-02486. MEDICAL PRODUCTS: ITEM#: 115320, COMP RVRS SHLDR GLNSP STD 41MM; LOT#: UNKNOWN; ITEM#: 115370, COMP RVS TRAY CO 44MM; LOT#: UNKNOWN; ITEM#: 113613, COMP PRIMARY STEM 13MM MICRO; LOT#: UNKNOWN. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT RIGHT SHOULDER REVISION PROCEDURE APPROXIMATELY ONE (1) YEAR AND NINE (9) MONTHS AGO. SUBSEQUENTLY, PATIENT WAS REVISED APPROXIMATELY ONE (1) MONTH AFTER REVISION SURGERY DUE TO THE DISLOCATION OF THE IMPLANTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1259406 E1 44-41 RTNV +3 HMRL BRG SHOULDER PROSTHESIS/EXTREMITIES KWS ZIMMER BIOMET, INC. N/A 189270

Patients

Seq Age Sex Outcome Treatment
1 69 YR Unknown Hospitalization| R SEE H10 NARRATIVE| SEE H10 NARRATIVE