BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROXIMAL HUMERUS, RIGHT, 11X160MM

    MDR report key: 12421520 · Received September 3, 2021

    Report

    Report Number
    0009613350-2021-00446
    Event Type
    Injury
    Date Received
    September 3, 2021
    Date of Event
    August 18, 2021
    Report Date
    November 11, 2021
    Manufacturer
    ZIMMER SWITZERLAND MANUFACTURING GMBH
    Product Code
    HSB
    UDI-DI
    00889024505797
    PMA / PMN Number
    K200814
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THIS FOLLOW-UP REPORT IS BEING FILLED TO RELAY ADDITIONAL INFORMATION, WHICH WAS UNKNOWN AT THE TIME OF THE PREVIOUS MEDWATCH. D10: MEDICAL PRODUCTS: BLUNT TIP SCREW, 4X48MM; CATALOG#47-2486-048-40; LOT#3024731. BLUNT TIP SCREW, 4X46MM; CATALOG#: 47-2486-046-40; LOT#: 3039376. BLUNT TIP SCREW, 4X46MM; CATALOG#: 47-2486-046-40; LOT#: 3062600. CORTICAL BONE SCREW, 4X32MM; CATALOG#: 47-2486-132-40; LOT#: 3010610. PROXIMAL HUMERUS NAIL CAP, 10.5X2.5MM; CATALOG#: 47-2488-010-02; LOT#: 3025182. PROXIMAL HUMERUS NAIL CAP,11X2.5MM; CATALOG#: 47-2488-011-02; LOT#: 3038374. TORQUE LIMITING HANDLE; CATALOG#: 27923 LOT#: UNKNOWN . LG CANN SCREWDRIVER HANDLE; CATALOG#: 214149000; LOT#: UNKNOWN . THERAPY DATE: (B)(6) 2021 ADDITIONAL INFORMATION WAS RECEIVED ON SEP 3, 2021. THE MANUFACTURER RECEIVED OTHER SOURCE DOCUMENTS FOR REVIEW. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE AND / OR THE DEVICE(S) BE RETURNED FOR EVALUATION AND AN INVESTIGATION RESULT BE AVAILABLE, THAT CHANGES THIS ASSESSMENT, AN AMENDED MEDICAL DEVICE REPORT WILL BE SUBMITTED. ZIMMER¿S REFERENCE NUMBER OF THIS FILE IS (B)(4).

    Additional Manufacturer Narrative · 0

    EVENT DESCRIPTION: IT WAS REPORTED THAT THE PATIENT UNDERWENT PRIMARY IMPLANTATION OF A AFFIXUS NATURAL PROXIMAL HUMERAL NAIL ON (B)(6), 2021. ONE WEEK LATER, THE THIRD SCREW WAS NOTED TO HAVE GRADUALLY BACKED OUT FROM THE PROPER POSITION. A REVISION SURGERY TOOK PLACE ON (B)(6), 2021 AND ONLY THE BACKED OUT SCREW WAS EXPLANTED. THE CORELOCK MECHANISM HAS BEEN REPORTED AS BEING ENGAGED WITH THE TORQUE LIMITING HANDLE AFTER ALL THE INTERLOCKING SCREWS WERE PLACED AND TIGHTENED WITH A NON-TORQUE LIMITING DRIVER. REVIEW OF RECEIVED DATA: - DUE DILIGENCE: NO FURTHER DUE DILIGENCE REQUIRED AS ALL REQUIRED INFORMATION TO SUPPORT THE CONCLUSION IS AVAILABLE OR WAS ALREADY REQUESTED. - X-RAYS: ONE UNDATED PREOPERATIVE AP X-RAY OF THE RIGHT SHOULDER HAS BEEN RECEIVED SHOWING CALCAR COMMINUTION. THE THIRD MOST PROXIMAL SCREW APPEARS TO HAVE MIGRATED. - PATIENT DATA: MALE. PRODUCT EVALUATION: - NO PRODUCT WAS RETURNED; THEREFORE, VISUAL AND DIMENSIONAL EVALUATION COULD NOT BE PERFORMED. REVIEW OF PRODUCT DOCUMENTATION: - DEVICE PURPOSE: ALL INVOLVED DEVICES ARE INTENDED FOR TREATMENT. - PRODUCT COMPATIBILITY: THE PRODUCT COMBINATION WAS APPROVED BY ZIMMER BIOMET. - DHR REVIEW: REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. CONCLUSION: IT WAS REPORTED THAT THE PATIENT UNDERWENT PRIMARY IMPLANTATION OF A AFFIXUS NATURAL PROXIMAL HUMERAL NAIL ON (B)(6), 2021. ONE WEEK LATER, THE THIRD SCREW WAS NOTED TO HAVE GRADUALLY BACKED OUT FROM THE PROPER POSITION. A REVISION SURGERY TOOK PLACE ON (B)(6), 2021 AND ONLY THE BACKED OUT SCREW WAS EXPLANTED. THE CORELOCK MECHANISM HAS BEEN REPORTED AS BEING ENGAGED WITH THE TORQUE LIMITING HANDLE AFTER ALL THE INTERLOCKING SCREWS WERE PLACED AND TIGHTENED WITH A NON-TORQUE LIMITING DRIVER. THE QUALITY RECORDS OF THE INVOLVED PRODUCTS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. THEREFORE, NO NONCONFORMANCE OR A COMPLAINT OUT OF BOX (COOB) COULD BE IDENTIFIED. THE RECEIVED X-RAYS SHOWS WHAT APPEARS TO BE A MIGRATION OF THE THIRD MOST PROXIMAL SCREW. HOWEVER, NO ADDITIONAL X-RAY DIRECTLY POST-IMPLANTATION AND FOR COMPARISON/DETERMINATION PURPOSES OF A MIGRATION OF THE SCREW HAVE BEEN RECEIVED. BASED ON THE INVESTIGATION IT COULD BE ASSUMED THAT POSSIBLE CONTRIBUTING FACTORS TO THE MIGRATION OF THE SCREW MIGHT BE MULTIFACTORIAL RELATED TO EITHER PATIENT CONDITION AND BEHAVIOR, IMPLANTATION PROCEDURE OR DESIGN FEATURES. IF AND TO WHAT EXTENT ANY OF THESE ASPECTS MAY HAVE INFLUENCED THE BACKING OUT OF THE SCREW REMAINS UNKNOWN. ADDITIONALLY, THE LOCKING OF THE CORELOCK DURING THE INITIAL SURGERY HAS NOT BEEN PERFORMED AS SPECIFIED IN THE SURGICAL TECHNIQUE USING ONLY THE CORELOCK DRIVER WITH TORQUE LIMITING HANDLE. INSTEAD, ADDITIONALLY A NON-TORQUE LIMITING SCREWDRIVER WAS USED. IT REMAINS UNKNOWN WHAT THE POTENTIAL EFFECT OF THIS DEVIATION FROM THE SURGICAL TECHNIQUE COULD BE AND IF THIS COULD HAVE POTENTIALLY CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. IN CONCLUSION, AS THE CAUSE MAY BE MULTIFACTORIAL AN EXACT ROOT CAUSE COULD NOT BE IDENTIFIED FOR THE MIGRATION OF THE SCREW. THE NEED FOR CORRECTIVE MEASURES IS NOT INDICATED AND ZIMMER SWITZERLAND MANUFACTURING GMBH CONSIDERS THIS CASE AS CLOSED. ZIMMER BIOMET¿S REFERENCE NUMBER OF THIS FILE IS (B)(4).

    Description of Event or Problem · 0

    PATIENT WAS IMPLANTED ON AN UNKNOWN SIDE WITH AN ANN NAIL SYSTEM. A WEEK POST THE IMPLANTATION SURGERY THE SURGEON NOTICED THAT THE THIRD BLUNT SCREW HAD BACKED OUT FROM ITS PROPER POSITION. HENCE, THE PATIENT UNDERWENT A REVISION SURGERY DURING WHICH THE THIRD BLUNT SCREW WAS EXPLANTED. THE TORQUE DRIVER WAS USED TO ENGAGE THE CORELOCK, FURTHERMORE NON-TORQUE DRIVER WAS USED TO TIGHTEN MORE AFTER USING THE TORQUE DRIVER.

    Description of Event or Problem · 0

    NO CHANGE TO PREVIOUSLY REPORTED EVENT.

    Additional Manufacturer Narrative · 1

    MEDICAL PRODUCT: BLUNT TIP SCREW, 4X48MM; ITEM# : 47248604840; LOT# : 3024731. BLUNT TIP SCREW, 4X46MM; ITEM# : 47248604640; LOT# : 3039376. BLUNT TIP SCREW, 4X46MM; ITEM# : 47248604640; LOT# : 3062600. CORTICAL BONE SCREW, 4X32MM; ITEM# : 47248613240; LOT# : 3010610. PROXIMAL HUMERUS NAIL CAP, 10.5X2.5MM; ITEM# : 47248801002; LOT# : 3025182. PROXIMAL HUMERUS NAIL CAP,11X2.5MM; ITEM# : 47248801102; LOT# : 3038374. THERAPY DATE: (B)(6) 2021. THE MANUFACTURER RECEIVED X-RAYS AND OTHER SOURCE DOCUMENTS FOR REVIEW. THE DEVICE HISTORY RECORDS WERE REVIEWED AND FOUND TO BE CONFORMING. A CAUSE FOR THIS SPECIFIC EVENT CANNOT BE ASCERTAINED FROM THE INFORMATION PROVIDED. AS SOON AS SUPPLEMENTAL INFORMATION BECOMES AVAILABLE AN UPDATED REPORT WILL BE SUBMITTED. ZIMMER BIOMET¿S REFERENCE NUMBER OF THIS FILE IS (B)(4).

    Description of Event or Problem · 1

    PATIENT WAS IMPLANTED ON AN UNKNOWN SIDE. 1 WEEK POST THE SURGERY, IT WAS NOTICED BY THE SURGEON THAT THE BLUNT SCREW GRADUALLY BACKED OUT FROM THE PROPER POSITION. A REVISION SURGERY WAS PERFORMED AND DURING THE REVISION ONLY THE BLUNT SCREW WAS EXPLANTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1317872 PROXIMAL HUMERUS, RIGHT, 11X160MM AFFIXUS(R) NATURAL NAIL(R) SYSTEM HUMERAL NAIL HSB ZIMMER SWITZERLAND MANUFACTURING GMBH N/A 3051302 00889024505797

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Hospitalization| R SEE H10 NARRATIVE.| SEE H10 NARRATIVE.