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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC MFG. LTD. FEMORAL COMPONENT OPTION SIZE G RIGHT; PROSTHESIS, KNEE

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ZIMMER ORTHOPAEDIC MFG. LTD. FEMORAL COMPONENT OPTION SIZE G RIGHT; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/21/2023
Event Type  malfunction  
Manufacturer Narrative
(b)(4).G2: france.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 during the surgery, when implants were taken to the surgery table it was noted that the two rigid plastic packs inside were broken, split in two.As sterility was compromised the implant could not be used.There was a delay in surgery time.Procedure was completed using an alternate implant.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
 this follow-up report is being submitted to relay additional information.  visual evaluation of the provided photos and returned product found damage to the sterile blisters that is visually consistent with transit damage for this packaging configuration.The sterility has been breached.The complaint has been confirmed by evaluation of the provided photos and returned product.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.Reported event is not related to a combination of products; therefore, a compatibility review is not applicable.Review of complaint history found no additional related issues for the reported part and part lot combinations.Medical records were not provided.The condition of the device when it left zimmer biomet is considered conforming to specification.The root cause of the reported event can be attributed to transit damage.No actions needed at this time.This complaint was determined not to be a new confirmed quality or manufacturing issue.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.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.  the product has been received by zimmerbiomet.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
FEMORAL COMPONENT OPTION SIZE G RIGHT
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER ORTHOPAEDIC MFG. LTD.
building no 2 east park
shannon industrial estate
shannon, county clare
EI 
Manufacturer (Section G)
ZIMMER ORTHOPAEDIC MFG. LTD.
building no 2 east park
shannon industrial estate
shannon, county clare
EI  
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key18317263
MDR Text Key330362599
Report Number3007963827-2023-00336
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
P060037
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 02/06/2024
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 Number00596401752
Device Lot Number63936730
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 11/21/2023
Initial Date FDA Received12/13/2023
Supplement Dates Manufacturer Received01/05/2024
02/01/2024
Supplement Dates FDA Received01/30/2024
02/06/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured03/11/2019
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 SexMale
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