FDA Adverse Event Injury Summary report: N

L-PLT LT REG 2.0 LACTOSORB SYS

MDR report key: 13013637 · Received December 15, 2021

Report

Report Number
0001032347-2021-00583
Event Type
Injury
Date Received
December 15, 2021
Date of Event
December 23, 2021
Report Date
April 28, 2022
Manufacturer
BIOMET MICROFIXATION
Product Code
HRS
UDI-DI
00841036054410
PMA / PMN Number
K955729
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). CONCOMITANT MEDICAL PRODUCTS: L-PLT RT REG 2.0 LACTOSORB SYS, CAT# 915-2101, LOT# 181330; QTY: 8 OF LACTO SCR 2.0X7MM 2.0 SYS 2/PK, CAT# 915-2301, LOT# 480430. REPORT SOURCE: (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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001032347-2021-00582, 0001032347-2021-00584, 0001032347-2021-00585 0001032347-2021-00586, 0001032347-2021-00587, 0001032347-2021-00588, 0001032347-2021-00589, 0001032347-2021-00590, 0001032347-2021-00591.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. 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 THAT A PATIENT EXPERIENCED SWELLING APPROXIMATELY 8 MONTHS AFTER A PIRIFORM APERTURE WITH LACTOSORB FOR MAXILLARY OSTEOTOMY. THE PATIENT HAS INDICATED FOR A REVISION, ALTHOUGH IT HAS YET TO OCCUR. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A REVISION PROCEDURE APPROXIMATELY 8 MONTHS AFTER A PIRIFORM APERTURE WITH LACTOSORB FOR MAXILLARY OSTEOTOMY DUE TO SWELLING. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 0

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1905908 L-PLT LT REG 2.0 LACTOSORB SYS CRANIOFACIAL FIXATION PLATE, BIOABSORBABLE HRS BIOMET MICROFIXATION NI 308570 00841036054410

Patients

Seq Age Sex Outcome Treatment
1 Unknown Hospitalization| O| R SEE H10