FDA Adverse Event Malfunction Summary report: N

OXF TRL BRG W/SLOTS MED 3MM

MDR report key: 7439204 · Received April 18, 2018

Report

Report Number
3002806535-2018-00729
Event Type
Malfunction
Date Received
April 18, 2018
Date of Event
March 19, 2018
Report Date
March 7, 2019
Manufacturer
BIOMET UK LTD.
Product Code
HRY
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

ZIMMER BIOMET COMPLAINT (B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. PRODUCTS HAVE BEEN RETURNED TO BIOMET UK LTD FOR EVALUATION AND FORWARDED TO THE QUALITY ENGINEER FOR INVESTIGATION. THE DHR FOR THE INVOLVED PRODUCT HAS BEEN REVIEWED AND DOES NOT SHOW ANY NON-CONFORMITY, REJECTION OR CONCESSION THAT COULD BE RELATED TO THE REPORTED EVENT. THE FRACTURE OF THE OXFORD TIBIAL TRIAL HAS EVIDENCE OF ABNORMAL STRESSES, POTENTIALLY THE USE OF A UP AND DOWN ROCKING MOTION, EXERTED DURING INSERTION OR REMOVAL OF THE BEARING USING THE OXFORD TRIAL TIBIAL BEARING INSERTER/EXTRACTOR. HOWEVER, THE EXACT CAUSE OF FAILURE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED.

Description of Event or Problem · 0

TRIAL BROKE DURING TRIAL PHASE OF THE SURGERY.

Additional Manufacturer Narrative · 1

CMP-(B)(4). THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A TRIAL BEARING BROKE DURING TRIAL PHASE OF THE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
284610 OXF TRL BRG W/SLOTS MED 3MM HRY BIOMET UK LTD. N/A ZB140101

Patients

Seq Age Sex Outcome Treatment
1 Other