FDA Adverse Event Malfunction Summary report: N

G7 NEUTRAL E1 LINER 32MM G

MDR report key: 19523706 · Received June 12, 2024

Report

Report Number
0001825034-2024-01570
Event Type
Malfunction
Date Received
June 12, 2024
Date of Event
June 3, 2024
Report Date
October 7, 2024
Manufacturer
ZIMMER BIOMET, INC.
Product Code
PBI
UDI-DI
00880304526372
PMA / PMN Number
K121874
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PRODUCT WAS RETURNED AND EVALUATED. A VISUAL EXAMINATION OF THE RETURNED PRODUCT IDENTIFIED NO VISIBLE DAMAGE TO THE SCALLOPS, OUTER DIAMETER, LOCKING FEATURE, OR INNER RADIUS OF THE DEVICE. A DIMENSIONAL ANALYSIS DETERMINED THAT MEASUREMENTS MET PRODUCT SPECIFICATIONS WHERE MEASURED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. THE REPORTED PRODUCTS WERE REVIEWED FOR COMPATIBILITY WITH NO ISSUES NOTED. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE COMPLAINT CANNOT BE CONFIRMED. 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

(B)(4). D10: CAT# 110010268 LOT# 7213914 G7 OSSEOTI MULTIHOLE 60MM G. G2: FOREIGN: COUNTRY: SINGAPORE. 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.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN INITIAL TOTAL HIP ARTHROSCOPY, THE LINER WAS UNABLE TO LOCK INTO THE SHELL DESPITE USING THE RECOMMENDED SURGICAL TECHNIQUE. THERE WAS A 30-MINUTE DELAY WHILE TRYING ALL WAYS TO ENGAGE THE LINER INTO THE SHELL. AN ELEVATED 32MM LINER WAS USED INSTEAD. THERE WAS NO PATIENT IMPACT, NO MEDICAL INTERVENTIONS, AND NO CONTRIBUTING CONDITIONS RELATED TO THE EVENT. NO ADDITIONAL INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136519 G7 NEUTRAL E1 LINER 32MM G PROTHESIS, HIP PBI ZIMMER BIOMET, INC. N/A 7500780 00880304526372

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown