FDA Adverse Event Injury Summary report: N

UNKNOWN AVENIR STEM

MDR report key: 14632627 · Received June 8, 2022

Report

Report Number
0001822565-2022-01745
Event Type
Injury
Date Received
June 8, 2022
Date of Event
February 27, 2022
Report Date
July 19, 2022
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KWY
PMA / PMN Number
NI
Removal / Correction Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). REPORT SOURCE: HARTFORD J.M., GRAW B.P, FROSCH D.L. (2022) REDUCED INCIDENCE OF PERIOPERATIVE PERIPROSTHETIC FRACTURES USING HYBRID RASP-IMPACTION BROACHING OVER IMPACTION BROACHING WHEN USING THE DIRECT ANTERIOR APPROACH FOR TOTAL HIP ARTHROPLASTY. ARTHROPLASTY TODAY VOL. 15 (2022) 75-80 HTTPS://WWW.ARTHROPLASTYTODAY.ORG/ARTICLE/S2352-3441(22)00069-3/FULLTEXT. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, PRODUCT LOCATION UNKNOWN. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

FINAL: THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. ADDITIONAL INFORMATION RECEIVED FROM SURGEON DOES NOT CHANGE PREVIOUSLY FOUND ROOT CAUSE. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED UPDATED: G3; H2; H3; H6. H6 COMPONENT CODE: MECHANICAL (G04)- STEM. REPORTED EVENT WAS UNABLE TO BE CONFIRMED. DEVICE HISTORY RECORD (DHR) REVIEW WAS UNABLE TO BE PERFORMED AS THE ITEM AND LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. ROOT CAUSE COULD NOT BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED PATIENT EXPERIENCED AN INTERTROCHANTERIC FRACTURE DUE TO WEDGING OF THE IMPLANT POSTOPERATIVELY. 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 PATIENT EXPERIENCED AN INTERTROCHANTERIC FRACTURE DUE TO WEDGING OF THE IMPLANT POSTOPERATIVELY. SURGEON BELIEVED OSTEOPOROSIS AND EXCESSIVE HOOP FORCES PRODUCED BY IMPLANT CAUSED THE FRACTURE. PATIENT USED PROTECTED WEIGHT BEARING TO ADDRESS THE FRACTURE. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION ON THE REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
19427 UNKNOWN AVENIR STEM PROSTHESIS, HIP KWY ZIMMER BIOMET, INC. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other