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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SWITZERLAND MANUFACTURING GMBH FITMORE, SHELL WITH FINS, UNCEMENTED, 56/KK; HIP PROSTHESIS

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ZIMMER SWITZERLAND MANUFACTURING GMBH FITMORE, SHELL WITH FINS, UNCEMENTED, 56/KK; HIP PROSTHESIS Back to Search Results
Model Number N/A
Device Problem Malposition of Device (2616)
Event Date 09/25/2023
Event Type  Injury  
Manufacturer Narrative
(b)(4).D10 ¿ durasul, alpha insert, hooded, kk/32, item# (b)(6), lot# 2937776.Biolox delta, ceramic femoral head, m¸ 32/0, taper 12/14, item# (b)(6), lot# 3103772.Cls spotorno, stem, 145, uncemented, 6.0, taper 12/14, item# (b)(6), lot# 3048483.G2 ¿ foreign ¿ australia.Multiple mdr reports were filed for this event, please see associated reports: 0009613350-2023-00593.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 underwent revision surgery on the left hip a year and six days post implantation due to anterior impingement caused by cup positioning.Attempts have been made and no further information has been provided.
 
Event Description
It was reported that the patient underwent revision surgery on the right hip a year and six days post implantation due to anterior impingement caused by cup positioning.Attempts have been made and no further information has been provided.
 
Manufacturer Narrative
This follow-up report is being submitted to relay corrected information.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.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, g3, g6, h2, h3, h4, h6.No product was returned, or pictures provided; visual evaluation could not be performed.A review of the device manufacturing records confirmed no abnormalities or deviations that could be related to the reported event.Device is used for treatment.The reported products were reviewed for compatibility with no issues noted.Review of the complaint history found no additional related complaints for this item and the reported part and lot combination.One ap pelvis overview was received and reviewed a radiologist.The review identified bilateral total hip arthroplasties with possible radiolucency along the medial aspect of the right acetabular cup which could indicate loosening, as well as shallow appearance of the right acetabular cup (right acetabular inclination angle is 42°) and small size of the femoral head.Based on the provided information, the reported impingement could not be confirmed, but radiolucency along the medial aspect of the right acetabular cup which could indicate loosening.Based on the information at hand, a root cause for the loosening could not be determined.No corrective, preventive or field action was taken following the investigation of this event.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.Multiple mdr reports were filed for this event, please see associated reports: 0009613350-2023-00593-2.
 
Event Description
Diligence is complete and to date no additional information is available.
 
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Brand Name
FITMORE, SHELL WITH FINS, UNCEMENTED, 56/KK
Type of Device
HIP PROSTHESIS
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 Key17963344
MDR Text Key326004797
Report Number0009613350-2023-00592
Device Sequence Number1
Product Code KWA
UDI-Device Identifier00889024384231
UDI-Public(01)00889024384231(17)240731(10)3002582
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
N/A
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,Followup
Report Date 02/20/2024
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 Health Professional
Device Model NumberN/A
Device Catalogue Number01.00024.456
Device Lot Number3002582
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 09/25/2023
Initial Date FDA Received10/19/2023
Supplement Dates Manufacturer Received10/04/2023
01/31/2024
Supplement Dates FDA Received10/30/2023
02/20/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured08/30/2019
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
Patient Outcome(s) Hospitalization; Required Intervention;
Patient SexMale
Patient Weight88 KG
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