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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET FRANCE S.A.R.L. VANGUARD ROCC POR FEM S62.5 R; KNEE PROSTHESIS

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BIOMET FRANCE S.A.R.L. VANGUARD ROCC POR FEM S62.5 R; KNEE PROSTHESIS Back to Search Results
Catalog Number P09VMD04
Device Problem Tear, Rip or Hole in Device Packaging (2385)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/10/2024
Event Type  malfunction  
Manufacturer Narrative
(b)(4).G2 - foreign: japan.Investigation of this incident is currently ongoing.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event Description
It was reported that when the package was opened during surgery, the sterile package of a femoral knee implant was damaged.As a result, the operation was completed with a backup product.This event is related to a malfunction that could potentially lead to a sterility issue.However, no patient harm or further outcome was reported.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.Pictures have been provided and show the product sealed in its original packaging.The sticker on the product confirmed its identification.Some crease is visible on one side of the blister.Visual examination of the returned product showed cracks and damages on the outside of the blister pack.The area is fractured but not deformed and there is no evidence of impact marks.The inner packaging including bag and foam is present.The seal appears intact with a uniform blue color and the bag appears to be still under vacuum.The label has been manipulated to open the packaging.The blister pack is fractured from top to bottom on the side with a star-shaped split at the top of the blister.This could indicate that this damage could have been caused by an external shock.A review of the device manufacturing records confirmed no abnormalities or deviations.With the available information, a definitive root cause could not be determined.A communication has been sent to the validation packaging department.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
No further event information available at the time of this report.
 
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Brand Name
VANGUARD ROCC POR FEM S62.5 R
Type of Device
KNEE PROSTHESIS
Manufacturer (Section D)
BIOMET FRANCE S.A.R.L.
plateau de lautagne bp75
valence cedex 26903
FR  26903
Manufacturer (Section G)
BIOMET FRANCE S.A.R.L.
plateau de lautagne bp75
valence cedex 26903
FR   26903
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key18648804
MDR Text Key334630411
Report Number3006946279-2024-00007
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeJA
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
Report Date 05/10/2024
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 Catalogue NumberP09VMD04
Device Lot Number0001713867
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 01/10/2024
Initial Date FDA Received02/06/2024
Supplement Dates Manufacturer Received04/29/2024
Supplement Dates FDA Received05/10/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured03/13/2023
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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