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