FDA Adverse Event Malfunction Summary report: N

G7 ACETABULAR LINER NEUTRAL 36MM F

MDR report key: 19483132 · Received June 7, 2024

Report

Report Number
0001825034-2024-01514
Event Type
Malfunction
Date Received
June 7, 2024
Date of Event
May 9, 2024
Report Date
November 6, 2024
Manufacturer
ZIMMER BIOMET, INC.
Product Code
PBI
UDI-DI
00880304526433
PMA / PMN Number
K121874
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: UNK SHELL; CAT# 110003634 LOT# 3140953 BIOLOX DELTA CER LNR 36MM E G2: FOREIGN ¿ CHINA THE 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

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D9; G3; H2; H3; H6; H10. VISUAL EXAMINATION OF THE RETURNED PRODUCT/PROVIDED PICTURES IDENTIFIED LINERS LOT 7252613 AND 7264159, AND SHELL LOT 7659826. LINERS: LOCKING FEATURE, RIM, AND SPHERICAL SURFACES SHOW INDENTATION OR GOUGE DAMAGE FROM ATTEMPTED IMPLANTING. NO OTHER DAMAGE WAS NOTED. LINERS WERE DIMENSIONALLY INSPECTED AT F10 AND F31 ON THE PRINT AND WERE FOUND TO BE IN SPECIFICATION. REVIEW OF THE DEVICE HISTORY RECORD(S) IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. UNABLE TO CONFIRM COMPLAINT. 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 THAT DURING AN INITIAL HIP PROCEDURE, THE POLYETHYLENE LINER WAS UNABLE TO BE IMPLANTED INTO THE CUP. REPEATED ATTEMPTS TO IMPLANT THE LINER AT THE CORRECT ANGLE CONTINUED TO FAIL. THE CORRESPONDING CERAMIC LINER WAS THEN USED AND COULD NOT BE IMPLANTED. THE FIRST CUP WAS REMOVED AND A SECOND, LARGER CUP WAS INSTALLED. THE SURGEON ATTEMPTED TO IMPLANT THE POLYETHYLENE LINER AND WAS UNSUCCESSFUL. THE CORRESPONDING CERAMIC LINER WAS ABLE TO BE SUCCESSFULLY IMPLANTED INTO THE SECOND CUP TO COMPLETE THE PROCEDURE. THERE WAS A 25 MINUTE SURGICAL DELAY. THERE WAS NO KNOWN IMPACT OR CONSEQUENCES TO THE PATIENT. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 0

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1258393 G7 ACETABULAR LINER NEUTRAL 36MM F PROSTHESIS, HIP PBI ZIMMER BIOMET, INC. N/A 7264159 00880304526433

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female