FDA Adverse Event Injury Summary report: N

RIBFIX BLU SYSTEM 8 HOLE STRAIGHT PLATE

MDR report key: 18821267 · Received March 1, 2024

Report

Report Number
0001032347-2024-00070
Event Type
Injury
Date Received
March 1, 2024
Date of Event
February 9, 2024
Report Date
July 30, 2024
Manufacturer
BIOMET MICROFIXATION
Product Code
HRS
PMA / PMN Number
K142823
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ZIMMER BIOMET COMPLAINT: (B)(4). G3: FOREIGN SOURCE: GERMANY. D10 ¿ MEDICAL PRODUCTS: ITEM#: 76-2601 LOT#: UNK, RIBFIX BLU SYSTEM 8 HOLE STRAIGHT PLATE. ITEM#: 76-2602 LOT#: UNK, RIBFIX BLU SYSTEM 12 HOLE PREBENT PLATE. ITEM#: UNK, LOT#: UNK, UNKNOWN SCREW QTY (B)(4). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001032347-2024-00071, 0001032347-2024-00072, 0001032347-2024-00073, 0001032347-2024-00074, 0001032347-2024-00075, 0001032347-2024-00076, 0001032347-2024-00077, 0001032347-2024-00078, 0001032347-2024-00079, 0001032347-2024-000780, 0001032347-2024-000781, 0001032347-2024-000782, 0001032347-2024-000783, 0001032347-2024-000784, AND 0001032347-2024-000785. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

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. IT WAS REPORTED THAT THE SURGEON REATTACHED ONE OF THE PLATES SEVERAL TIMES AND THE SURGEON WAS INFORMED ABOUT THE POSSIBLE LOOSENING OF IMPLANTS RESULTING FROM THE OFF-LABEL USE DURING REPEATED INSERTION ATTEMPTS. THE IFU FOR THESE PLATES STATES: SINGLE USE DEVICE. DO NOT REUSE IMPLANTS. WHILE AN IMPLANT MAY APPEAR UNDAMAGED, PREVIOUS STRESS MAY HAVE CREATED IMPERFECTIONS THAT WOULD REDUCE THE SERVICE LIFE OF THE IMPLANT. DO NOT TREAT PATIENTS WITH IMPLANTS THAT HAVE BEEN EVEN MOMENTARILY PLACED IN A DIFFERENT PATIENT. HOWEVER, IT COULD NOT BE CONFIRMED IF THE ISSUE WAS RESULT OF OTHER FACTORS, SUCH AS POOR PATIENT BONE QUALITY. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE REPORTED EVENT IS UNCONFIRMED. IF ANY FURTHER INFORMATION IS FOUND THAT WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. THIS REPORT IS BEING SUBMITTED TO UPDATE ADDITIONAL INFORMATION IN SECTIONS B3, B4, B5, D4, D6, G3, G6, H2, H3, H4, H6, AND H11.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED TO UPDATE ADDITIONAL INFORMATION IN SECTIONS B4, B5, D4, G3, G6, H2, AND H10, H11.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER INITIAL IMPLANTATION OF PLATES AND SCREWS THE IMPLANTS LOOSENED. THE SURGEON HAD REATTACHED ONE OF THE PLATES SEVERAL TIMES. THE SURGEON WAS INFORMED ABOUT THE POSSIBLE LOOSENING OF IMPLANTS AND THE OFF-LABEL USE DURING THE REPEATED INSERTION. HE REFUSED TO USE A NEW PLATE AND REINSERTED THE 8-HOLE PLATE. THERE WAS A 45-MINUTE DELAY DURING THE PROCEDURE. ACCORDING TO CT IMAGES, BOTH PLATES ARE NOW TORN OUT AND NEED TO BE REVISED. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.

Description of Event or Problem · 0

IT IS FURTHER REPORTED THAT THE PATIENT HAS BEEN REVISED.

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
237079 RIBFIX BLU SYSTEM 8 HOLE STRAIGHT PLATE PLATE, FIXATION, BONE HRS BIOMET MICROFIXATION N/A J7428266

Patients

Seq Age Sex Outcome Treatment
1 50 YR Male Required Intervention| O SEE H10.