FDA Adverse Event Malfunction Summary report: N

G7 POSITIONING GUIDE ROD

MDR report key: 21314093 · Received February 5, 2025

Report

Report Number
0001825034-2025-00263
Event Type
Malfunction
Date Received
February 5, 2025
Date of Event
January 13, 2025
Report Date
June 12, 2025
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: 110003457 ITEM NAME RATCHETING SCREWDRIVER HANDLE LOT # 108229; 00-8790-007-05 ITEM NAME FLEXIBLE SHAFT, TRI-SHANK LOT UNKNOWN. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS AS IT¿S LOCATION IS NOT KNOWN; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4;G3;H2;H3;H6. RATCHETING SCREWDRIVER HANDLE WAS RETURNED AND EVALUATED. VISUAL REVIEW OF THE RETURNED RATCHETING SCREWDRIVER HANDLE IDENTIFIED SCRATCHES FROM PREVIOUS USES. NO OTHER DAMAGE WAS NOTED. FUNCTIONAL TESTING WAS PERFORMED AND THE GAGE FULLY SEATED INTO THE RATCHET END; HOWEVER, FAILED TO ROTATE IN EITHER THE FORWARD OR REVERSE DIRECTION. THE DEVICE CAN SWITCH THE SETTINGS BETWEEN FORWARD, LOCK, AND REVERSE SMOOTHLY, BUT WOULDN'T RATCHET. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. THE GUIDE ROD WAS NOT RETURNED, AND NO PICTURES WERE PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS; LOT IDENTIFICATION WAS NOT PROVIDED. 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. THE COMPLAINT IS CONFIRMED BASED ON THE RETURNED PRODUCT EVALUATION OF THE RATCHETING SCREWDRIVER HANDLE. FRACTURED GUIDE ROD COULD NOT 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 THAT 2 PIECES FRACTURED DURING SURGERY FROM WEAR. RATCHETING SCREWDRIVER HANDLE WOULD NOT RATCHET. THE SURGEON NOTED, THE PATIENT HAD HARD BONE WHICH MAY HAVE CONTRIBUTED TO THE DRILL FRACTURING. THE SURGERY WAS COMPLETED USING A BACKUP TRAY. THERE IS NO ADDITIONAL INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

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
1061223 G7 POSITIONING GUIDE ROD INSTRUMENT, HIP LXH ZIMMER BIOMET, INC. NI

Patients

Seq Age Sex Outcome Treatment
1 48 YR Male