BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER TRABECULAR METAL HUMERAL STEM

    MDR report key: 1886412 · Received October 21, 2010

    Report

    Report Number
    1822565-2010-00943
    Event Type
    Malfunction
    Date Received
    October 21, 2010
    Date of Event
    March 30, 2010
    Report Date
    March 30, 2010
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSD
    Removal / Correction Number
    1822565-7/26/2010-006-R
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DURING TRABECULAR METAL HUMERAL AND THE TRABECULAR METAL RESERVE SHOULDER PROCEDURES, INSTRUMENTS PREPARE THE BONE FOR A TOLERANCE RANGE FROM SLIGHT PRESSFIT TO SLIGHT CLEARANCE. BECAUSE THESE STEMS HAVE PROXIMAL TRABECULAR METAL COMBINED WITH A PROXIMAL TAPER THEY ACHIEVE ADEQUATE STABILITY THROUGH PROXIMAL FIXATION ALONE. IT HAS BEEN DETERMINED THAT DISTAL PRESS IS NOT REQUIRED AND THAT DISTAL PRESS COULD LEAD TO DIFFICULTY SEATING THE IMPLANT DEPENDANT ON BONE QUALITY, HUMERAL GEOMETRY, AND SURGEON REAMING. WHILE A CAUSE FOR THIS SPECIFIC CLINICAL EVENT CANNOT BE ASCERTAINED FROM THE INFORMATION PROVIDED, THE COMMON CLINICAL PRESENTATION AND THE DATE OF THE OCCURRENCE SUGGESTS THAT THE EVENT IS RELATED TO THE ISSUES FOR WHICH ZIMMER IS IMPLEMENTING CORRECTIVE ACTION. REFERENCE REMOVAL REPORT 1822565-7/26/2010-006-R FOR ADDITIONAL INFORMATION REGARDING THE CORRECTIVE ACTION TAKEN. DEVICE HISTORY RECORDS INDICATE ALL COMPONENTS WERE MANUFACTURED AND INSPECTED TO SPECIFICATION. REVIEW OF THE DEVICE HISTORY RECORDS DID NOT FIND ANY DEVIATIONS OR ANOMALIES.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE STEM WOULD NOT FULLY SEAT IN THE CANAL, WITH SOME WORK, IT WAS ABLE TO BE REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER TRABECULAR METAL HUMERAL STEM SHOULDER PROSTHESIS HSD ZIMMER, INC. NA 61303175

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR