FDA Adverse Event Injury Summary report: N

CLS® SPOTORNO®, STEM, 135°, UNCEMENTED, 7.0, TAPER 12/14

MDR report key: 21655369 · Received March 20, 2025

Report

Report Number
0009613350-2025-00156
Event Type
Injury
Date Received
March 20, 2025
Date of Event
November 20, 2009
Report Date
August 19, 2025
Manufacturer
ZIMMER GMBH
Product Code
LZO
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT: (B)(4). 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: METASUL® LDH®, HEAD, 42, CODE H, TAPER 18/20, #ITEM: 0100181420, #LOT: 2277583. METASUL® DUROM®, COMPONENT FOR ACETABULUM, #ITEM:0100214048, #LOT: 2232752. METASUL® LDH®, HEAD ADAPTER, M, 0, TAPER 12/14-18/20, #ITEM: 0100185146, #LOT: 2284972. THERAPY DATE: ON (B)(6) 2009. G2: FOREIGN SOURCE: GERMANY. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT, (B)(4). UPDATED: A4, B4, B5, B7, D2, D9, G1, G3, G6, H1, H2, H3, H6. CORRECTED: B1. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; A PRODUCT EVALUATION COULD NOT BE PERFORMED. A REVIEW OF THE DEVICE MANUFACTURING RECORDS CONFIRMED NO ABNORMALITIES OR DEVIATIONS THAT COULD BE RELATED TO THE REPORTED EVENT. REVIEW OF THE COMPLAINT HISTORIES IDENTIFIED ADDITIONAL SIMILAR COMPLAINTS FOR THE REPORTED ITEMS AND THE PART AND LOT COMBINATIONS. COMPLAINTS ARE MONITORED PER COMPLAINT TRENDING PROCESS IN ORDER TO IDENTIFY POTENTIAL ADVERSE TRENDS. INITIAL LEFT TOTAL HIP ARTHROPLASTY PERFORMED. SUBSEQUENTLY, 4 YEARS LATER THE PATIENT UNDERWENT LEFT TOTAL HIP REVISION. DURING THE REVISION, A HUGE TROCHANTERIC BURSA WAS FOUND TO BE SWOLLEN, WITH GREENISH-YELLOW EFFUSION OBSERVED UPON INCISION. THE HEAD WAS REMOVED FROM THE CONE WITHOUT ISSUE, BUT IT APPEARED BLACK WITH SIGNIFICANT WEAR AT THE SHAFT NECK. THE CONE WAS REMOVED, AND A LARGE OSTEOLYSIS WAS NOTED AT THE SHAFT OF THE FEMUR. THE CUP WAS FOUND NOT TO BE OSSEOINTEGRATED. THE WOUND WAS IRRIGATED, AND THE SKIN WAS CLOSED IN LAYERS. BASED ON THE INFORMATION AVAILABLE THE EVENT CAN BE CONFIRMED, BUT A DEFINITIVE ROOT CAUSE CANNOT BE ESTABLISHED. 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 FROM LEGAL THAT A PATIENT HAD A LEFT TOTAL HIP ARTHROPLASTY PERFORMED. SUBSEQUENTLY, THE PATIENT WAS REVISED 4 YEARS POST-IMPLANTATION. DURING THE REVISION IT WAS NOTED; OSTEOLYSIS OF THE FEMUR, GREENISH-YELLOW EFFUSION, AND BLACK ABUNDANT ABRASION AFTER HEAD REMOVAL. ALL IMPLANTS WERE REVISED WITHOUT COMPLICATIONS. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 0

IT WAS REPORTED THE PATIENT UNDERWENT A HIP REVISION 4 YEARS POST-IMPLANTATION DUE TO UNKNOWN REASONS. ATTEMPTS HAVE BEEN MADE AND ALL AVAILABLE INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 0

NO ADDITIONAL EVENT INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
451670 CLS® SPOTORNO®, STEM, 135°, UNCEMENTED, 7.0, TAPER 12/14 HIP PROSTHESIS LZO ZIMMER GMBH 2248983

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization| R