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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. VANGUARD PS OPEN INTL FEM-LT 70; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. VANGUARD PS OPEN INTL FEM-LT 70; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Device Contaminated During Manufacture or Shipping (2969)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 02/04/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Foreign (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.
 
Event Description
It was reported that vanguard femoral component prepared for total knee arthroplasty had something like a lint inside of the sterile package.Subsequently, a backup was used to complete the procedure.Attempts have been made and no further information has been provided.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
(b)(4) reported event was confirmed by examination of packaging materials.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to be determined.Visual examination of the returned packaging/provided pictures identified hair-like debris in the sterile packaging.The product was not returned as it was implanted.The packaging was returned opened, and therefore, it cannot be determined how the debris was introduced.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
VANGUARD PS OPEN INTL FEM-LT 70
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key11321524
MDR Text Key231641405
Report Number0001825034-2021-00431
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
PMA/PMN Number
K113550
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,distri
Type of Report Initial,Followup
Report Date 04/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number183132
Device Lot NumberJ6117739
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 02/08/2021
Initial Date FDA Received02/12/2021
Supplement Dates Manufacturer Received04/22/2021
Supplement Dates FDA Received04/26/2021
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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