ORTHOPEDIC SALVAGE SYSTEM FINN MODULAR PROXIMAL FEMORAL COMPONENT RIGHT 7CM
Report
- Report Number
- 0001825034-2025-01682
- Event Type
- Injury
- Date Received
- June 11, 2025
- Date of Event
- May 16, 2025
- Report Date
- July 30, 2025
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWA
- UDI-DI
- 00880304239784
- PMA / PMN Number
- K043547
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D10 - CONCOMITANT DEVICES - ORTHOPEDIC SALVAGE SYSTEM DIAPHYSEAL SEGMENT 17CM CATALOG #: 150471, LOT #: 66735386; ORTHOPEDIC SALVAGE SYSTEM CEMENTED PROXIMAL TIBIAL STEM 13MM X 150MM CATALOG #: 150446 LOT #: 281560; BIOMET MODULAR HEAD COMPONENT CATALOG #: 163669 LOT #: J7611326; CABLE-READY GRIP SYSTEM CERCLAGE CABLE WITH CRIMP 1.8MM X 25IN CATALOG #: 00223200418 LOT #: 67142058; CABLE-READY GRIP SYSTEM CERCLAGE CABLE WITH CRIMP 1.8MM X 25IN CATALOG #: 00223200418 LOT #: 66872104. G2 - REPORT SOURCE - FOREIGN: EVENT OCCURRED IN AUSTRALIA. H6 - COMPONENT CODE - PROPOSED CODE IS MECHANICAL (G04) - FEMUR. THE COMPLAINANT HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION DUE TO HOSPITAL POLICY. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, G3, G6, H2, H3, H6, H11. THE REPORTED EVENT COULD NOT BE CONFIRMED AS MEDICAL RECORDS WERE NOT PROVIDED. THE DEVICE HISTORY RECORDS WERE NOT REVIEWED AS THE EVENT WAS DETERMINED TO BE UNRELATED TO THE IMPLANTED DEVICE. STERILE CERTIFICATIONS WERE REVIEWED AND FOUND TO BE CONFORMING WITH NO APPLICABLE DEVIATIONS. THE DEVICE WAS VERIFIED TO HAVE GONE THROUGH ACCEPTABLE STERILIZATION PROCESSES FOLLOWING ISO/AAMI/ASTM & EU PUBLISHED GUIDELINES. THERE ARE MULTIPLE FACTORS THAT MAY CONTRIBUTE TO AN INFECTION THAT ARE OUTSIDE THE CONTROL OF ZIMMER BIOMET, SUCH AS EXTERNAL FACTORS THAT MAY INCLUDE HOSPITAL/SURGICAL ENVIRONMENT, PROVIDER-RELATED RISK FACTORS, AND/OR PATIENT COMORBIDITIES/RISK FACTORS. AS THERE ARE NO INDICATIONS OF A PRODUCT OR PROCESS ISSUE AFFECTING IMPLANT SAFETY OR EFFECTIVENESS, THE IMPLANTED PRODUCTS ARE NOT IDENTIFIED AS THE SOURCE OR CONTRIBUTING TO THE REPORTED INFECTION. THE ROOT CAUSE WAS DETERMINED TO BE TRACED TO NON-DEVICE RELATED FACTORS. 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.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A HIP ARTHROPLASTY REVISION TO TREAT INFECTION APPROXIMATELY SIX (6) WEEKS POST-OPERATIVELY. ALL COMPONENTS WERE REVISED. NO ADDITIONAL INFORMATION IS AVAILABLE.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 94389 | ORTHOPEDIC SALVAGE SYSTEM FINN MODULAR PROXIMAL FEMORAL COMPONENT RIGHT 7CM | PROSTHESIS, KNEE | KWA | ZIMMER BIOMET, INC. | N/A | 65779772 | 00880304239784 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Female | Required Intervention| H | SEE H11 NARRATIVE |