(b)(4).This follow-up report is being filled to relay additional information.The following sections were updated:b5, g1-2, g3, g4, h2, h3, h6, h10.The device was not returned to the manufacturer.Therefore it was not possible to analyze it.Reserve sample from the same lot was tested under standardized conditions.The product did not show any unusual behavior during mixing, handling or setting.The reported behavior of the cement could not be reproduced.The review of the device manufacturing quality record indicates that (b)(4) products optipac-s 80 refobacin bone cement r, reference 4712500398-1, batch a726c05250 were manufactured on 3rd november 2017.The device manufacturing quality record indicates that the released product met all requirements to perform as intended.No non conformity or deviation was observed which could be linked to the complaint issue.Another complaint has been recorded for optipac-s 80 refobacin bone cement r, reference 4712500398-1, batch a726c05250 on the reported event within one year, from the same hospital.With the available information, the exact root cause of the event could not be determined.An investigation has been performed, consisting of a documentary review and a reserve sample analysis.The documentary review showed that product was manufactured according to the pre-defined specifications of biomet france.The reserve sample analysis did not show any unusual behavior during mixing, handling or setting.According to available data, the exact root cause can¿t be determined.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.
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