FDA Adverse Event Malfunction Summary report: N

MALLORY-HEAD ACETABULAR SHELL

MDR report key: 6917310 · Received October 5, 2017

Report

Report Number
3002806535-2017-00920
Event Type
Malfunction
Date Received
October 5, 2017
Report Date
January 11, 2018
Manufacturer
BIOMET UK LTD.
Product Code
LPH
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(6). (B)(4). THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. NOT RETURNED TO MANUFACTURER.

Additional Manufacturer Narrative · 1

(B)(4). PRODUCTS HAVE BEEN RETURNED TO BIOMET UK LTD FOR EVALUATION AND FORWARDED TO THE COMPLAINTS AND VIGILANCE ENGINEER WHO HAS REPORTED AS FOLLOWS: THE DEVICES HAVE BEEN VISUALLY EXAMINED WHICH HAS CONCLUDED THAT DAMAGE TO THE IMPLANT POUCH HAS OCCURRED. THIS IS LIKELY DUE TO THE FINS BREAKING THROUGH THE POUCH, AND AS A RESULT, COMPROMISING THE SECONDARY STERILE BARRIER. A RISK ASSESSMENT USING PRODUCT SALES VERSES COMPLAINTS HAS BEEN COMPLETED AND HAS CONFIRMED THE RISK HAS NOT BEEN EXCEEDED AND THEREFORE THERE IS NO RISK TO PATIENT SAFETY. A NEW REVISED PACKAGING CONFIGURATION WAS INTRODUCED TO UPDATE THE PACKAGING OF THE MALLORY SHELL DEVICES. A REVIEW OF THE MANUFACTURING HISTORY RECORDS CONFIRMS NO ABNORMALITIES OR DEVIATIONS REPORTED. A REVIEW OF THE COMPLAINTS DATA BASE FOUND NO COMPLAINTS FOR DAMAGED PACKAGING RECORDED FOR THE NEW PACKAGING CONFIGURATION. IT CAN BE CONCLUDED THAT THE DEVICES RETURNED IN THIS EVALUATION WERE CONFORMING TO PRE-DEFINED PACKAGING SPECIFICATION AT THE TIME OF MANUFACTURE. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 1

IT WAS REPORTED THE INNER POUCHES WERE DAMAGED UPON RECEIPT, PRIOR TO USE. NO PATIENT CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
697101 MALLORY-HEAD ACETABULAR SHELL PROSTHESIS, HIP LPH BIOMET UK LTD. N/A 2907506

Patients

Seq Age Sex Outcome Treatment
1