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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SWITZERLAND MANUFACTURING GMBH BIOLOX DELTA, CERAMIC FEMORAL HEAD, M, 32/0, TAPER 12/14; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS

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ZIMMER SWITZERLAND MANUFACTURING GMBH BIOLOX DELTA, CERAMIC FEMORAL HEAD, M, 32/0, TAPER 12/14; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS Back to Search Results
Model Number 00-8775-032-02
Device Problem Scratched Material (3020)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/15/2023
Event Type  malfunction  
Manufacturer Narrative
(b)(4).A picture of the head was provided and reviewed.The picture shows the non-articulating surface and the taper of the head with some metallic smearing.Blood can be seen on the head.Product was returned for investigation and visually examined: the femoral head has some small scratches on the surface, possibly caused by handling error outside of zb control.Review of the device history record identified no deviations or anomalies during manufacturing.Medical records were not provided.The provided picture was taken after the surgical procedure was already initiated, as the head is already covered in blood and the non-articulating surface and the taper of the head shows some metallic smearing.No pictures of the head were provided as soon as the package was open; therefore, it is not possible to assess the initial condition of the head and determine if the reported event is due to possible handling error during/after unpacking the device.With the available information, a definitive root cause cannot be established.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.
 
Event Description
It was reported that the surgeon noticed a defect/scratch on the ceramic head implant.The surgery was completed with a different implant.No consequences or impact to the patient.Attempts have been made and no further information has been provided.
 
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Brand Name
BIOLOX DELTA, CERAMIC FEMORAL HEAD, M, 32/0, TAPER 12/14
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS
Manufacturer (Section D)
ZIMMER SWITZERLAND MANUFACTURING GMBH
sulzer allee 8
sulzer industrie park
winterthur 8404
SZ  8404
Manufacturer (Section G)
ZIMMER SWITZERLAND MANUFACTURING GMBH
sulzer allee 8
sulzer industrie park
winterthur 8404
SZ   8404
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key16760835
MDR Text Key313499380
Report Number0009613350-2023-00165
Device Sequence Number1
Product Code LZO
UDI-Device Identifier00889024430327
UDI-Public(01)00889024430327(17)320607(10)3115339
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K192416
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 04/18/2023
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 Number00-8775-032-02
Device Catalogue Number00877503202
Device Lot Number3115339
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/08/2023
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 03/21/2023
Initial Date FDA Received04/18/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/07/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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