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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, S, 36/-3.5, TAPER 12/14; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED

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ZIMMER SWITZERLAND MANUFACTURING GMBH BIOLOX DELTA, CERAMIC FEMORAL HEAD, S, 36/-3.5, TAPER 12/14; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED Back to Search Results
Model Number N/A
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Muscle/Tendon Damage (4532)
Event Date 08/03/2023
Event Type  Injury  
Manufacturer Narrative
(b)(4).D10: medical devices: item# 00620205222 shell porous with cluster holes 52 mm, lot# 64933052 item# 00630505036 liner standard 3.5 mm offset 36 mm i.D.For use with 50/52/54 mm o.D.Shells, lot# 65625892.Item# 00771101210 standard offset size 12.5 reduced neck length 12/14 neck taper uncemented femoral stem, lot# 65574069.Item# 00625006520 bone screw self-tapping 6.5 mm dia.20 mm length, lot# j7373544.Item# 00625006530 bone screw self-tapping 6.5 mm dia.30 mm length, lot# 65710435.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event Description
It was reported that the patient had an initial hip arthroplasty.Subsequently, the patient underwent a surgical procedure due to two torn tendons of the right hip six months post implantation.No implants were removed.No complaint of anything wrong with the implants.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).This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, g3, g6, h1, h2, h3, h6, h10.Initial tha with surgical intervention for repair of tendon tear.Tendon tear postop total hip arthroplasty is found in a small amount of cases.Nonoperative modalities are first line of treatment.If this approach is unsuccessful, surgical treatment may be necessary.Tendon tears can take from 3-6 months to heal with symptoms of pain, stiffness, feeling of hip giving away, instability, and/or catching.An mri will be obtained to determine location and severity of tear to help determine the treatment course.Surgical repair of a tendon tear can be done via arthroscopic or open.The tendon is reattached to the trochanter.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
BIOLOX DELTA, CERAMIC FEMORAL HEAD, S, 36/-3.5, TAPER 12/14
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED
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 Key17806480
MDR Text Key324113692
Report Number0009613350-2023-00532
Device Sequence Number1
Product Code LZO
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 Consumer,Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 11/03/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberN/A
Device Catalogue Number00-8775-036-01
Device Lot Number3069711
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 08/28/2023
Initial Date FDA Received09/25/2023
Supplement Dates Manufacturer Received10/30/2023
Supplement Dates FDA Received11/03/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured04/19/2021
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
Treatment
SEE H10 NARRATIVE.
Patient Outcome(s) Required Intervention; Hospitalization;
Patient SexFemale
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