FDA Adverse Event Injury Summary report: N

G7 BISPHERICAL SHELL 62H

MDR report key: 12460067 · Received September 13, 2021

Report

Report Number
3002806535-2021-00386
Event Type
Injury
Date Received
September 13, 2021
Date of Event
September 6, 2021
Report Date
November 29, 2021
Manufacturer
BIOMET UK LTD.
Product Code
JDI
UDI-DI
05019279515745
PMA / PMN Number
N/A
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PRODUCT RETURNED HAS BEEN RETURNED FOR EVALUATION. THE LINER AND HEAD HAVE BEEN RETURNED WITH G7 SHELL. ASSOCIATED PRODUCTS: ASSOCIATED ITEM NUMBER 010000852. ITEM NAME G7 NEUTRAL E1 LINER 32MM H. LOT # 3973281. ASSOCIATED ITEM NUMBER 650-0834. ITEM NAME DELTA CER FEM HD 032/0MM 12/14. LOT # UNKNOWN. THE INVESTIGATION IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

CMP-(B)(4). G7 BISPHERICAL ACETABULAR SHELL, A BIOLOX DELTA FEMORAL HEAD AND A G7 E1 LINER WERE SENT TO THE RESEARCH DEPARTMENT FOR EVALUATION, AFTER THEPARTS WERE REVISED DUE TO LOOSENING OF THE ACETABULAR SHELL AFTER APPROXIMATELY 2 YEARS AND 10 MONTHS IN SERVICE. THE G7 BISPHERICAL ACETABULAR SHELL IS SHOWN AS RECEIVED WITH CMP-(B)(4)., WITH THE E1 LINER STILL ASSEMBLED. THE OUTER SURFACE OF THE SHELL SHOWED NO SIGNS OF BONE TISSUE INTEGRATION, AS REPORTED IN THE COMPLAINT DESCRIPTION. SOME OF THE TEETH ON THE OUTER SURFACE OF THE SHELL APPEARED SLIGHTLY DAMAGED, WHICH MAY HAVE BEEN CAUSED BY INSTRUMENTS DURING REVISION. SOME OTHER TEETH APPEARED POLISHED OR BURNISHED, WHICH MAY ALSO HAVE BEEN CAUSED BY INSTRUMENTS USED DURING REVISION OR BY THE RELATIVE MOVEMENT OF THE COMPONENT WITH THE PATIENT¿S BONE, THUS FURTHER CONFIRMING THE COMPONENT LOOSENING. MINOR SCRATCHES, LIKELY CAUSED BY INSTRUMENTS, AND DISCOLOURATION OF THE ANODIZED RIM OF THE ACETABULAR SHELL IS EVIDENT. VISUAL EXAMINATION OF THE RETURNED G7 BISPHERICAL SHELL, INCLINATION ANGLE MEASUREMENTS FROM THE PROVIDED RADIOGRAPHS AND INFORMATION PROVIDED IN THE REVISION SURGERY NOTES CONFIRM THE REPORTED LOOSENING OF THE COMPONENT AND LACK OF BONE INTEGRATION. THE ROOT CAUSE OF THIS CANNOT BE DETERMINED WITH THE AVAILABLE INFORMATION, HOWEVER THE SUBOPTIMAL BONY COVERAGE OF THE COMPONENT MAY HAVE BEEN A CONTRIBUTING FACTOR. THE MANUFACTURING HISTORY RECORDS OF THE RECEIVED COMPONENTS AND ASSOCIATED GTS FEMORAL STEM HAVE BEEN CHECKED AND VERIFY THAT THESE PARTS WERE MANUFACTURED AND STERILISED IN ACCORDANCE WITH THE APPLICABLE SPECIFICATIONS. THE PARTS WERE MANUFACTURED AND STERILISED IN ACCORDANCE WITH THE APPLICABLE SPECIFICATIONS. A REVIEW OF THE COMPLAINTS DATABASE SHOWS THAT WE HAVE RECEIVED NO REPORTED EVENTS FOR REVISION DUE TO LOOSENING FOR THE SAME ITEM NUMBER PRIOR TO THE REPORTED EVENT. THE SEVERITY OF THE REPORTED EVENT FOR SIMILAR COMPLAINTS ARE IN LINE WITH THE RISK FILE. INVESTIGATION IS COMPLETED BASED ON CURRENT AVAILABLE INFORMATION. IF ANY ADDITIONAL INFORMATION BECOMES AVAILABLE, THEN THE COMPLAINT WILL BE REOPENED AND FURTHER INVESTIGATED.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PRODUCT RETURNED HAS BEEN RETURNED FOR EVALUATION. THE LINER AND HEAD HAVE BEEN RETURNED WITH G7 SHELL. ASSOCIATED PRODUCTS: ASSOCIATED ITEM NUMBER 010000852. ITEM NAME G7 NEUTRAL E1 LINER 32MM H. LOT # 3973281. ASSOCIATED ITEM NUMBER 650-0834. ITEM NAME DELTA CER FEM HD 032/0MM 12/14. LOT # UNKNOWN. THE INVESTIGATION IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL TOTAL HIP ARTHROPLASTY ON (B)(6) 2018. SUBSEQUENTLY, THE PATIENT UNDERWENT A REVISION OF THE CUP DUE TO LOOSENING ON (B)(6) 2021.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL TOTAL HIP ARTHROPLASTY ON (B)(6) 2018. SUBSEQUENTLY, THE PATIENT UNDERWENT A REVISION OF THE CUP DUE TO LOOSENING, NO BONE IN GROWTH OF THE CUP ON (B)(6) 2021.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL TOTAL HIP ARTHROPLASTY ON (B)(6) 2018. SUBSEQUENTLY, THE PATIENT UNDERWENT A REVISION OF THE CUP DUE TO LOOSENING ON (B)(6) 2021.

Additional Manufacturer Narrative · 1

INITIAL REPORT: (B)(4). REPORT SOURCE, FOREIGN : EVENT OCCURRED IN THE (B)(6). CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. 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 AN INITIAL TOTAL HIP ARTHROPLASTY ON (B)(6) 2018. SUBSEQUENTLY, THE PATIENT UNDERWENT A REVISION OF THE CUP DUE TO LOOSENING ON (B)(6) 2021. ATTEMPTS HAVE BEEN MADE BUT NO FURTHER INFORMATION HAS BEEN PROVIDED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1356524 G7 BISPHERICAL SHELL 62H STERILE TOTAL HIP ARTHROPLASTY JDI BIOMET UK LTD. N/A 3320291 05019279515745

Patients

Seq Age Sex Outcome Treatment
1 53 YR Male Hospitalization| R