(b)(4).This follow-up report is being submitted to relay additional information.The product was returned and analysed.The cement is homogeneous and has been used.A product analysis was performed on an another product of the same reference and batch retained at zimmer biomet facilities.This analysis show that the cement behavior was in compliance with the specifications.The reported event is not confirmed.The review of the device manufacturing quality record indicates that 1805 products optipac 40 refobacin bone cement r-3, reference: (b)(4), lot number: 812ba08670 were manufactured on 09 may 2018.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 event described in the complaint.2 complaints have been recorded for optipac 40 refobacin bone cement r-3, batch: 812ba08670 within one year.According to available data, the exact root cause can¿t be determined.A summary of the investigation has been sent to the complainant.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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