FDA Adverse Event Injury Summary report: N

CONTINUUM TRABECULAR METAL 56MM O.D. POROUS UNCEMENTED CLUSTER HOLES SHELL

MDR report key: 20363715 · Received October 3, 2024

Report

Report Number
0001822565-2024-03177
Event Type
Injury
Date Received
October 3, 2024
Date of Event
December 15, 2023
Report Date
February 12, 2025
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LPH
UDI-DI
00889024151437
PMA / PMN Number
K151448
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

(B)(4). G2: FOREIGN: COUNTRY: UNITED KINGDOM. H10: CAT#: 00877503603, LOT#: 3171535 BIOLOX® DELTA, CERAMIC FEMORAL HEAD. CAT#: 00875201236, LOT#: 66125201 36MM I.D. SIZE KK ELEVATED RIM LINER. CAT#: 574201040, LOT#: 3160371 AVENIR FEMORAL STEM CEMENTLESS COLLARED STANDARD OFFSET 12/14 TAPER SIZE 4. PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4;D4;G3;H2;H3;H4;H6. 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. REPORTED EVENT IS NOT RELATED TO A COMBINATION OF PRODUCTS; THEREFORE, A COMPATIBILITY REVIEW IS NOT APPLICABLE. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THIS 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.

Description of Event or Problem · 0

IT WAS REPORTED THE PATIENT UNDERWENT A TOTAL HIP ARTHROPLASTY APPROXIMATELY ELEVEN MONTHS AGO. SUBSEQUENTLY, THE PATIENT WAS REVISED ONE MONTH AFTER THE INITIAL SURGERY DUE TO A PERIPROSTHETIC FRACTURE. THE CUP, HEAD, AND LINER WERE REVISED. THE STEM REMAINS IMPLANTED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

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
1172825 CONTINUUM TRABECULAR METAL 56MM O.D. POROUS UNCEMENTED CLUSTER HOLES SHELL PROTHESIS, HIP LPH ZIMMER BIOMET, INC. N/A 66044089 00889024151437

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Hospitalization| R