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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. DISPOSABLE MIXING BOWL AND SPATULA; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. DISPOSABLE MIXING BOWL AND SPATULA; PROSTHESIS, HIP Back to Search Results
Model Number N/A
Device Problem Device Contaminated During Manufacture or Shipping (2969)
Patient Problem No Patient Involvement (2645)
Event Date 06/18/2020
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: foreign: country: (b)(6).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.Multiple mdr reports were filed for this event, please see associated reports: 0001822565 - 2020 - 02390, 0001822565 - 2020 - 02391, 0001822565 - 2020 - 02392, 0001822565 - 2020 - 02393, 0001822565 - 2020 - 02394, 0001822565 - 2020 - 02395, 0001822565 - 2020 - 02396, 0001822565 - 2020 - 02397, 0001822565 - 2020 - 02398, 0001822565 - 2020 - 02399, 0001822565 - 2020 - 02401, 0001822565 - 2020 - 02402, 0001822565 - 2020 - 02403, 0001822565 - 2020 - 02404, 0001822565 - 2020 - 02405, 0001822565 - 2020 - 02407.
 
Event Description
It was reported by the distributorship that the products were found to be nonconforming.No patient involvement.No additional information.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Complaint sample was evaluated and the reported event was confirmed.Visual examination of the returned products confirmed that 18 out-of-20 contain foreign debris.Sixteen of the 20 sterile pouches contain a loose blue particle.One sterile pouch contains 2 particles.All loose particles exceed the.60 sq.Mm size allowed by zpc 8.400 rev.52, as measured with the tappi chart 25-2007-187-00-ey.One sterile pouch has a hair-like fiber measuring approximately.400 in length.Device history record (dhr) was reviewed and no discrepancies were found.Reported event did not occur in an operating room or as part of a medical procedure; medical records are not available for review.The likely condition of the parts when they left zimmer biomet control is considered non-conforming based on the evaluation of the returned products.The loose blue particles likely came from the excess flash generated during the molding process of the mixing bowl and/or during the trimming of this excess flash.Although a definitive source of the hair-like fiber cannot be determined, it was introduced during manufacturing because it was located in the sealed pouch.The root cause of the reported issue is attributed to a manufacturing issue.A corrective action has been initiated to address this 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.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
DISPOSABLE MIXING BOWL AND SPATULA
Type of Device
PROSTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key10239919
MDR Text Key198319931
Report Number0001822565-2020-02406
Device Sequence Number1
Product Code JDZ
UDI-Device Identifier00889024376684
UDI-Public(01)00889024376684(17)250131(10)64655319
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 10/07/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/07/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number00504901100
Device Lot Number64655319
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/14/2020
Was the Report Sent to FDA? No
Date Manufacturer Received10/07/2020
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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