FDA Adverse Event Injury Summary report: N

ZIMMER VERSYS FEMORAL HEAD

MDR report key: 5774875 · Received July 7, 2016

Report

Report Number
0002648920-2016-00917
Event Type
Injury
Date Received
July 7, 2016
Date of Event
June 6, 2016
Report Date
April 19, 2023
Manufacturer
ZIMMER MANUFACTURING B.V.
Product Code
LPH
PMA / PMN Number
K953337
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. D10: CAT#: 00620005022/LOT #: 60330424/ SHELL POROUS WITH CLUSTER HOLES; CAT #: 7711-06-20/LOT #: 60136227/ M/L TAPER STEM; CAT #: 6250-65-40/LOT # 60367519/SCREW; CAT #: 6250-65-30/LOT #: 60373634/SCREW. 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). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PROPOSED COMPONENT CODE: MECHANICAL (G04)- HEAD. MEDICAL RECORDS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: AN INITIAL LEFT THA WAS PERFORMED ON (B)(6) 2005. A REVISION OCCURRED ON (B)(6) 2016 DUE TO RECURRENT ANTERIOR DISLOCATIONS. A TEAR WAS IDENTIFIED IN THE ANTERIOR CAPSULE WITH EVIDENCE OF LINER WEAR AND EDGE ROUNDING. THE HEAD AND LINER WERE REPLACED WITH NO COMPLICATIONS NOTED. RADIOGRAPHS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: LEFT TOTAL HIP ARTHROPLASTY WITH UNDERSIZED ACETABULAR CUP AS COMPARED TO THE FEMORAL HEAD. INTERVAL DEVELOPMENT OF MULTIPLE WELL CORTICATED OSSIFIC DENSITIES ALONG THE LEFT GREATER TROCHANTER COULD INTERVAL PRIOR TRAUMA. AFTER DISCUSSION WITH A HCP, THE UNDERSIZED CUP WAS DETERMINED TO BE RELATED TO THE 36MM HEAD ON THE LINKED COMPLAINT. ROOT CAUSE REMAINS UNCHANGED. 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 A PATIENT UNDERWENT A LEFT HIP REVISION DUE TO RECURRENT ANTERIOR DISLOCATIONS APPROXIMATELY ELEVEN YEARS POST IMPLANTATION. DURING THE PROCEDURE, A TEAR WAS NOTED IN THE ANTERIOR CAPSULE WITH LINER WEAR AND EDGE ROUNDING AT THE SITE. THE CUP AND STEM WERE STABLE AND INTACT. THE HEAD AND LINER WERE REPLACED WITHOUT COMPLICATIONS.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION TO REPORT AT THIS TIME.

Additional Manufacturer Narrative · 1

THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 1

ONE PHOTOGRAPH WHICH SHOWED THE EXPLANTS WAS PROVIDED. IDENTIFICATION NUMBER OF THE HEAD ARE VISIBLE. THE CUP SHOWS DAMAGE CONSISTENT WITH REMOVAL. NO OTHER ISSUES CAN BE IDENTIFIED FROM THE PHOTO. THIS DEVICE IS USED FOR TREATMENT. COMPATIBILITY CHECK SHOWED THAT PRODUCTS WERE COMPATIBLE. NO ISSUES WERE FOUND DURING THE COMPLAINT HISTORY REVIEW. OPERATIONAL NOTES WERE REVIEWED AND PROPER SURGICAL TECHNIQUE WAS FOLLOWED. ROOT CAUSE COULD NOT BE DETERMINED WITH INFORMATION AVAILABLE.

Description of Event or Problem · 1

IT IS REPORTED THAT A PATIENT LEFT HIP WAS REVISED DUE TO DISLOCATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
430394 ZIMMER VERSYS FEMORAL HEAD HIP PROSTHESIS LPH ZIMMER MANUFACTURING B.V. 60341975

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female Hospitalization| R SEE H10