MAUDE Adverse Event Report: ZIMMER BIOMET, INC. 4.5 MM L-BUTTRESS PLATE ANGLED LEFT 4 HOLES 85 MM LENGTH; IMPLANT, TRAUMA

Model Number N/A

Device Problems Migration or Expulsion of Device (1395); Loosening of Implant Not Related to Bone-Ingrowth (4002)

Patient Problems Failure of Implant (1924); Necrosis (1971); Osteopenia/ Osteoporosis (2651)

Event Date 06/22/2020

Event Type  Injury  

Manufacturer Narrative

(b)(4).Concomitant medical products: catalog #: 47494500412, 4.5 mm l-buttress plate angled right 4 holes, lot #: unknown.Catalog #: unknown, unknown screws, lot #: unknown, qty.(b)(4).Report source: france.Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the device has been discarded.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001822565-2022-02743, 0001822565-2022-02745, 0001822565-2022-02746, 0001822565-2022-02747, 0001822565-2022-02748, 0001822565-2022-02749, 0001822565-2022-02750, 0001822565-2022-02751, 0001822565-2022-02752.

Event Description

It was reported that there was device loosening and migration of the device six months postoperative.Patient was revised.Attempts have been made and there is no further information at this time.

Manufacturer Narrative

This follow-up report is being submitted to relay additional information.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.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.

Event Description

It was reported that there was necrosis, poor bone quality, and migration of the device six months postoperative of a right tibia fracture repaired with plate and screws.No additional patient consequences were reported.

Manufacturer Narrative

This follow-up report is being submitted to relay additional information.Reported event was confirmed by review of radiographs.Review of the available records identified the following: surgical skin staples are present.There is backing out of the proximal tibial plate screw with bony fragmentation of the intercondylar eminence and lateral tibial plateau.Single screw within the medial tibial plateau demonstrates radiolucency suggesting loosening.There has been interval placement of a right total knee arthroplasty with cement and screws involving the lateral tibial plateau.Overall fit and alignment of the implants is appropriate.Normal bone quality.Eventual collapse of the intercondylar eminence and lateral tibial plateau.Upon receipt of additional information, it has been determined that the left plate and screws were not explanted.Hence the device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.

Event Description

Upon receipt of additional information, it has been determined that the left plate and screws were not explanted.Hence the device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.

• Brand Name: 4.5 MM L-BUTTRESS PLATE ANGLED LEFT 4 HOLES 85 MM LENGTH
• Type of Device: IMPLANT, TRAUMA
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 1800 w. center st.; warsaw IN 46580
• Manufacturer (Section G): ZIMMER BIOMET, INC.; 1800 w. center st.; warsaw IN 46580
• Manufacturer Contact: jennifer rapsavage ; 56 e. bell dr.; warsaw, IN 46582 ; 5745260384
• MDR Report Key: 15459614
• MDR Text Key: 300297760
• Report Number: 0001822565-2022-02741
• Device Sequence Number: 1
• Product Code: HRS
• Combination Product (y/n): N
• Reporter Country Code: FR
• PMA/PMN Number: K101073
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Study,Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup
• Report Date: 02/03/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 09/20/2022
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: N/A
• Device Catalogue Number: 47494500411
• Device Lot Number: N/A
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 01/23/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Treatment: SEE H10.
• Patient Outcome(s): Hospitalization; Required Intervention