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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC MFG. LTD. FEMORAL COMPONENT OPTION SIZE F RIGHT COMPATIBLE WITH LPS-FLEX PROLONG; PROSTHESIS, KNEE

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ZIMMER ORTHOPAEDIC MFG. LTD. FEMORAL COMPONENT OPTION SIZE F RIGHT COMPATIBLE WITH LPS-FLEX PROLONG; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problems Manufacturing, Packaging or Shipping Problem (2975); Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Event Description
It was reported that the implant was not sterile upon opening as it had defective inner packaging.Attempts have been made and no further information has been provided.
 
Manufacturer Narrative
(b)(4).G2 : foreign country : (b)(6).Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: a3; b4; b5; d2; e1; e2; e3; g1; g2; g3; g6; h1; h2; h3; h6 customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
It was further reported that the issue was discovered during an initial surgery.There was approximately a 15 minute surgical delay.There was no impact on the patient.The surgical technique was utilized.Attempts have been made and all available information has been provided.
 
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.Visual evaluation of the provided photos and returned product found damage to the sterile packaging (blisters).Sterility has been breached.The device history record was reviewed and no discrepancies relevant to the reported event were found.Review of complaint history found no additional related issues for this item and the reported part and lot combination.Medical records were not provided.The condition of the device when it left zimmer biomet is considered conforming to specification.The root cause of the reported event can be attributed to transit damage.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
FEMORAL COMPONENT OPTION SIZE F RIGHT COMPATIBLE WITH LPS-FLEX PROLONG
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER ORTHOPAEDIC MFG. LTD.
building no 2 east park
shannon industrial estate
shannon, county clare
EI 
Manufacturer (Section G)
ZIMMER ORTHOPAEDIC MFG. LTD.
building no 2 east park
shannon industrial estate
shannon, county clare
EI  
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key18011957
MDR Text Key326621239
Report Number3007963827-2023-00292
Device Sequence Number1
Product Code JWH
UDI-Device Identifier00889024001145
UDI-Public(01)00889024001145(17)280930(10)64020188
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K173057
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date 02/14/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/26/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number00596401652
Device Lot Number64020188
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received02/14/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/05/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
Patient SexMale
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