FDA Adverse Event Malfunction Summary report: N

CUP POSITIONER

MDR report key: 18467236 · Received January 8, 2024

Report

Report Number
0001822565-2024-00042
Event Type
Malfunction
Date Received
January 8, 2024
Date of Event
December 29, 2023
Report Date
April 9, 2024
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LXH
UDI-DI
00889024120136
PMA / PMN Number
EXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NE, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PRODUCT WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

(B)(4). D10: CAT# 00-8751-010-36 LOT# 65377036 CONTINUUM LONGEVITY NEUTRAL LINER, II 36 X 52 CAT# 00-6250-065-30 LOT # J7593913 BONE SCREW 6.5X30 SELFTAP CAT# 574101030 LOT# 3121808 AVENIR CMPL HA STD NC SIZE 3 CAT# 00-8775-036-01 LOT# 3171528 BIOLOX DELTA FEM HEAD, 36MM, -3.5MM CAT# 00875705202 LOT# 6613801552MM O.D. SIZE II POROUS UNCEMENTED WITH MULTIHOLES MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001822565-2024-00044 CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND CORRECTED INFORMATION. THE FOLLOWING SECTION WAS CORRECTED: LOT NUMBER. PRODUCT HAS BEEN RECEIVED BY ZIMMER BIOMET AND THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND CORRECTED INFORMATION. NO PRODUCT WAS RETURNED; HOWEVER, PICTURES WERE PROVIDED AND REVIEWED. AN EXAMINATION OF THE PROVIDED PICTURES IDENTIFIED THAT THE CUP POSITIONER WAS COVERED IN BIO-DEBRIS AND DETACHED FROM THE SHELL. THE PICTURES DID NOT CAPTURE THE THREADS ENOUGH FOR FURTHER REVIEW. PICTURES WERE NOT PROVIDED OF THE SHELL. NO FURTHER EVALUATION CAN BE MADE. MEDICAL RECORDS WERE NOT PROVIDED. A REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. THE REPORTED PRODUCTS WERE REVIEWED FOR COMPATIBILITY WITH NO ISSUES NOTED. THE REPORTED ISSUE CANNOT BE CONFIRMED, AND A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. 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

ADDITIONAL INFORMATION RECEIVED. IT WAS REPORTED THAT THE THREADS WERE NOT AN ISSUE. THE INNER SPRING WAS ALLOWING THE CUP TO SEAT BACK TOO FAR. NO ADDITIONAL INFORMATION WAS AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING SURGERY, THE CUP INSERTER WAS SCREWED INTO THE CUP BUT WOULD NOT RELEASE OR UNSCREW FROM THE CUP. THE CUP GOT STUCK IN THE FEMUR AND HAD TO BE PRIED OFF THE INSERTER WITH A CURETTE AND PLIERS. THE CUP WAS REMOVED FROM THE INSERTER. THERE WAS NO DAMAGE NOTED TO THE CUP, SO IT WAS IMPLANTED. THE INSERTER NEEDED TO BE REPLACED. IT WAS REPORTED THAT SURGICAL TECHNIQUE WAS UTILIZED. THERE WAS NO PATIENT IMPACT OR INJURY. THERE WERE ALSO NO SURGICAL COMPLICATIONS, AND NO FOREIGN BODY RETAINED. NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

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

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
568389 CUP POSITIONER INSTRUMENT, HIP LXH ZIMMER BIOMET, INC. N/A 62641799 00889024120136

Patients

Seq Age Sex Outcome Treatment
1 NA Female