FDA Adverse Event Injury Summary report: N

BIOMET G7 LINER

MDR report key: 7346620 · Received March 16, 2018

Report

Report Number
0001825034-2018-01867
Event Type
Injury
Date Received
March 16, 2018
Date of Event
October 11, 2017
Report Date
November 4, 2018
Manufacturer
ZIMMER BIOMET, INC.
Product Code
PBI
PMA / PMN Number
PK121874
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR EVALUATION. UPON VISUAL INSPECTION, THERE WAS DEFORMATION TO THE SCALLOPS AND LOCKING FEATURE OF THE LINER. NO FURTHER MEASUREMENTS WERE TAKEN AS THE ORDER WAS CHECKED 100% DURING PRODUCTION. DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. 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

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative · 1

(B)(4). PRODUCT HAS BEEN RECEIVED BY ZIMMER BIOMET AND THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. CONCOMITANT MEDICAL PRODUCTS: ITEM # 110017104, FINNED CUP, LOT # 6061019, ITEM # 010000819, LINER, LOT # 6029243. MULTIPLE REPORTS HAVE BEEN SUBMITTED FOR THIS EVENT. PLEASE SEE ASSOCIATED REPORTS: 0001825034-2018-01866, 0001825034-2018-01867, 0001825034-2018-01868.

Description of Event or Problem · 1

IT WAS REPORTED THAT MULTIPLE LINERS WOULD NOT LOCK INTO THE SHELL. THE EVENT OCCURRED DURING A PRIMARY HIP SURGERY CAUSING A DELAY GREATER THAN 30 MINUTES. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
190295 BIOMET G7 LINER HIP PROSTHESIS PBI ZIMMER BIOMET, INC. N/A 6065078

Patients

Seq Age Sex Outcome Treatment
1 Other