Model Number N/A |
Device Problem
Device Markings/Labelling Problem (2911)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 08/12/2020 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).Product has been received by zimmer biomet and the investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
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Event Description
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It was reported the wrong implant was in the dual mobility active articulation head box during an initial hip arthroplasty.They opened a 38mm size c for a 48 cup and there was a 42mm in the box which goes with a 52mm cup.The device was implanted but detected there was an issue.They used a caliper, after taking the head off and measured it, they saw it was 4mm's bigger than it was supposed to be.They opened another 38mm poly ball e1 active articulation and it was the correct size.No complications or harm for the patient.Attempts have been made and additional information on the reported event is unavailable at this time.
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Manufacturer Narrative
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This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: g4; h2; h3; h6.Complaint confirmed.Visual review of the device shows no damage to the liner.Item and lot are not etched on the device and unable to be confirmed.The product identifier for overall height and width were measured and show the device non-conforming to 38mm specification.The dimensions for product identifiers do however fall within specification for a 42mm liner.Radiographs were provided and reviewed by a health care professional.Coob confirmed intra/post op and there are additional complaints for the part and lot combination for same/similar issue.Review of the device history record(s) identified no deviations or anomalies during manufacturing.The root cause of the reported issue is attributed to a manufacturing deficiency.The event is being farther investigated through the capa process.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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Event Description
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No additional information on the reported event.
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Search Alerts/Recalls
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