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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. G7 FREEDOM CONST E1 LNR 36MM F; PROSTHETIC, HIP

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ZIMMER BIOMET, INC. G7 FREEDOM CONST E1 LNR 36MM F; PROSTHETIC, HIP Back to Search Results
Model Number N/A
Device Problem Difficult or Delayed Positioning (1157)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 11/04/2020
Event Type  malfunction  
Manufacturer Narrative
(b)(4).The device will not be returned for analysis, as the device remains implanted; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event Description
It was reported the patient underwent surgery due to bone fracture.During surgery, the liner would not seat in the cup properly.The surgeon attempted approximately five times to insert the liner before determining the risk of fracturing the patient's acetabulum via impaction outweighed the consequences of cementing the liner into the cup.He scored the back side of the poly liner and cemented it into the cup.It was noted the patient had poor bone quality to begin with.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.Medical records were not provided.A review of the device history records identified no deviations or anomalies during manufacturing.A definitive root cause cannot be determined.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.
 
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Brand Name
G7 FREEDOM CONST E1 LNR 36MM F
Type of Device
PROSTHETIC, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key10934840
MDR Text Key219166036
Report Number0001825034-2020-04248
Device Sequence Number1
Product Code PBI
Combination Product (y/n)N
PMA/PMN Number
K121874
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,health profession
Type of Report Initial,Followup
Report Date 03/09/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/02/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number010000984
Device Lot Number6621335
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received03/09/2021
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Treatment
BIOMET G7 CUP 54MM F. CAT#110010265 LOT#6756703; BIOMET G7 CUP 54MM F. CAT#110010265 LOT#6756703
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