FDA Adverse Event
Malfunction
Summary report: N
SMALL EXPLANT "CUP CUTTER"
MDR report key: 14574809
·
Received June 1, 2022
Report
- Report Number
- MW5110025
- Event Type
- Malfunction
- Date Received
- June 1, 2022
- Date of Event
- May 24, 2022
- Report Date
- May 27, 2022
- Manufacturer
- ZIMMER BIOMET/ZIMMER, INC.
- Product Code
- LXH
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING A HIP REVISION, THE HANDLE OF THE SMALL EXPLANT "CUP CUTTER" BROKE. ON THE SECOND SET THE SCREW WOULDN'T WORK. THE SURGEON THEN USED CURVED OSTEOTOMES TO FINISH CUTTING THE ACETABULAR CUP. MORE BONE WAS REMOVED WITH THE OSTEOTOMES THAN IF THE CUP CUTTER WAS USED, BUT THIS DID NOT CHANGE THE COURSE OF THE SURGERY, NOR CAUSE ANY NOTICEABLE IMPACT TO THE PATIENT EITHER NOW OR IN THE FUTURE. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 27122 | SMALL EXPLANT "CUP CUTTER" | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT | LXH | ZIMMER BIOMET/ZIMMER, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Female |