FDA Adverse Event Injury Summary report: N

ZIMMER M/L TAPER FEMORAL STEM

MDR report key: 2023287 · Received February 15, 2011

Report

Report Number
1822565-2011-00579
Event Type
Injury
Date Received
February 15, 2011
Date of Event
February 26, 2008
Report Date
September 23, 2009
Manufacturer
ZIMMER, INC.
Product Code
MEH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE CONDITION IS UNK. IT IS NOT KNOWN IF THE STEM WAS IMPLANTED WITH THE CORRECT ORIENTATION AND FIT AS PER THE SURGICAL TECHNIQUE. X-RAYS ARE UNAVAILABLE. INSTRUMENTS USED AS WELL AS PT HEIGHT, WEIGHT, AND ACTIVITY LEVEL ARE UNK. REHABILITATION PROGRAM, BOTH PHYSICAL AND PHARMACOLOGICAL, AND COMPLIANCE THEREOF IS UNK. THE PROBABLE CAUSE FOR LOOSENING IS UNK. THE STERILIZATION PROCESS FOR THIS DEVICE WAS VALIDATED IN ACCORDANCE WITH FDA REGULATIONS AND ISO STANDARDS TO A STERILITY ASSURANCE LEVEL (SAL) OF 1.0 X 10 (-6) OR BETTER. THIS LOT WAS PROCESSED ACCORDING TO THE VALIDATED STERILIZATION PROCESS PARAMETERS AND MET ALL THE ACCEPTANCE CRITERIA FOR STERILITY RELEASE. IN ADDITION, BEFORE EACH LOT IS RELEASED, THE "CERTIFICATE OF PROCESSING" FROM THE STERILIZATION SUPPLIER IS REVIEWED FOR CONFORMANCE. THIS CERTIFICATE LISTS THE MAXIMUM, MINIMUM AND ACTUAL GAMMA DOSE IN KGY. THEREFORE, IT IS HIGHLY UNLIKELY THAT THE DEVICE CAUSED OR CONTRIBUTED TO INFECTION. REVIEW OF THE DEVICE HISTORY RECORDS DID NOT FIND ANY DEVIATIONS OR ANOMALIES. IT IS NOT SUSPECTED THAT THE PRODUCT FAILED TO MEET SPECIFICATIONS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT CONTRIBUTION TO THE REPORTED PROBLEM. BASED ON THE AVAILABLE INFORMATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. THIS MDR WAS IDENTIFIED DURING AN INTERNAL REVIEW TO MEET REPORTING REQUIREMENTS AND THEREFORE IS BEING FILED LATE.

Description of Event or Problem · 1

IT IS REPORTED THAT THE PT EXPERIENCED PAIN AND THE DEVICE WAS FOUND TO BE LOOSE. THE PT ALSO HAD A POSSIBLE INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ZIMMER M/L TAPER FEMORAL STEM MEH ZIMMER, INC. 60425913

Patients

Seq Age Sex Outcome Treatment
1 70 YR Required Intervention