FDA Adverse Event Malfunction Summary report: N

OXF UNI TIB TRAY SZ C RM PMA

MDR report key: 7504414 · Received May 10, 2018

Report

Report Number
3002806535-2018-00793
Event Type
Malfunction
Date Received
May 10, 2018
Date of Event
October 12, 2016
Report Date
November 8, 2018
Manufacturer
BIOMET UK LTD.
Product Code
NRA
PMA / PMN Number
N/A
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

(B)(4). PRODUCT WAS RETURNED TO THE MANUFACTURER, BIOMET ORTHOPEDICS LLC FOR EVALUATION. VISUAL INSPECTION OF THE RETURNED PACKAGING DETERMINED THAT THE SHRINK WRAP AND OUTER CARTON HAVE BEEN OPENED AND THE TYVEK LID HAS BEEN PEELED OFF OF THE BLISTER CAVITY. THE CAVITY FLANGE SHOWS UNIFORM EVIDENCE OF ADHESIVE TRANSFER AROUND THE FULL WIDTH. THE INNER POUCH WAS ALSO FOUND TO BE OPENED AND APPEARS TO HAVE BEEN TORN OR CUT OPEN. THE DEVICE HISTORY RECORDS FOR 154723, LOT 046960 WERE REVIEWED FOR DEVIATIONS AND/OR ANOMALIES WITH THE FOLLOWING DEVIATIONS/ANOMALIES IDENTIFIED: 1 PIECE SCRAPPED AT (B)(4) POLISH COMPLETE. REVIEW OF THE FINAL INSPECTION CRITERIA FOR PACKAGING AND LABELING IN PLACE AT THE TIME OF MANUFACTURE, DETERMINED THAT 100% OF THE STERILE PACKAGING IS INSPECTED FOR SEAL WIDTH AND INTEGRITY PRIOR TO RELEASE. REVIEW OF THE PRODUCT CONFIRMS THAT THE PRODUCT WAS OPENED HOWEVER IT CANNOT BE VERIFIED IF THE PRODUCT WAS OPENED PRIOR TO THE CUSTOMER RECEIVING IT AS THE CONDITION OF THE RETURNED POUCH AND BLISTER INDICATES THAT THE PRODUCT WAS FULLY SEALED AND THE INNER POUCH WAS TORN OR CUT OPEN. THE PRODUCT WAS LIKELY CONFORMING WHEN IT WAS RELEASED FROM ZIMMER BIOMET CONTROL. 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.

Additional Manufacturer Narrative · 0

(B)(4). PRODUCT WAS RETURNED TO THE MANUFACTURER, BIOMET ORTHOPEDICS LLC FOR EVALUATION. VISUAL INSPECTION OF THE RETURNED PACKAGING DETERMINED THAT THE SHRINK WRAP AND OUTER CARTON HAVE BEEN OPENED AND THE TYVEK LID HAS BEEN PEELED OFF OF THE BLISTER CAVITY. THE CAVITY FLANGE SHOWS UNIFORM EVIDENCE OF ADHESIVE TRANSFER AROUND THE FULL WIDTH. THE INNER POUCH WAS ALSO FOUND TO BE OPENED AND APPEARS TO HAVE BEEN TORN OR CUT OPEN. THE DEVICE HISTORY RECORDS FOR 154723, LOT 046960 WERE REVIEWED FOR DEVIATIONS AND/OR ANOMALIES WITH THE FOLLOWING DEVIATIONS/ANOMALIES IDENTIFIED: 1 PIECE SCRAPPED AT (B)(4) POLISH COMPLETE. REVIEW OF THE FINAL INSPECTION CRITERIA FOR PACKAGING AND LABELING IN PLACE AT THE TIME OF MANUFACTURE, DETERMINED THAT 100% OF THE STERILE PACKAGING IS INSPECTED FOR SEAL WIDTH AND INTEGRITY PRIOR TO RELEASE. REVIEW OF THE PRODUCT CONFIRMS THAT THE PRODUCT WAS OPENED HOWEVER IT CANNOT BE VERIFIED IF THE PRODUCT WAS OPENED PRIOR TO THE CUSTOMER RECEIVING IT AS THE CONDITION OF THE RETURNED POUCH AND BLISTER INDICATES THAT THE PRODUCT WAS FULLY SEALED AND THE INNER POUCH WAS TORN OR CUT OPEN. THE PRODUCT WAS LIKELY CONFORMING WHEN IT WAS RELEASED FROM ZIMMER BIOMET CONTROL. 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.

Description of Event or Problem · 0

INNER STERILE PACKAGING WAS COMPROMISED.

Description of Event or Problem · 0

INNER STERILE PACKAGING WAS COMPROMISED.

Additional Manufacturer Narrative · 1

(B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. 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 OUTER BOX WAS OPENED AND THE INNER STERILE PACKAGING WAS COMPROMISED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
348068 OXF UNI TIB TRAY SZ C RM PMA NRA BIOMET UK LTD. N/A 046960

Patients

Seq Age Sex Outcome Treatment
1 72 YR