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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. G7 CURVED INSERTER THD SHAFT; INSTRUMENT, HIP

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ZIMMER BIOMET, INC. G7 CURVED INSERTER THD SHAFT; INSTRUMENT, HIP Back to Search Results
Model Number N/A
Device Problem Difficult to Insert (1316)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/26/2024
Event Type  malfunction  
Event Description
It was reported that when the surgeon and nurse tried to attach the g7 cup to the inserter, the threads wouldn't screw into the cup.Another inserter was attempted with the same issue.The surgeon was able to complete the procedure after several attempts but found it was more difficult than usual.The threads were not visibily damaged.There is no additional information available at the time of this report.
 
Manufacturer Narrative
(b)(4).D10: 110003454 item name g7 curved inserter thd shaft lot # 083625 unknown g7 cup g2: foreign: canada multiple mdr reports were filed for this event, please see associated reports 0001825034 - 2024 - 00428 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.H3 other text : device in process to return.
 
Event Description
There is no update to the prior event description provided.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: visual examination of the provided pictures identified no thread damage can be seen.Inserters are covered in bio-debris and have signs of use.Unable to confirm complaint as no product was returned or medical records were provided.Review of the device history record(s) identified no deviations or anomalies during manufacturing.Medical records were not provided.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 CURVED INSERTER THD SHAFT
Type of Device
INSTRUMENT, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key18746543
MDR Text Key335848873
Report Number0001825034-2024-00427
Device Sequence Number1
Product Code PBI
UDI-Device Identifier00887868462528
UDI-Public(01)00887868462528(11)220923(10)083625
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
K121874
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
Report Date 04/17/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/21/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number110003454
Device Lot Number083625
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received04/16/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/23/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Removal/Correction NumberN/A
Patient Sequence Number1
Treatment
PLEASE SEE H10
Patient SexPrefer Not To Disclose
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