MAUDE Adverse Event Report: ZIMMER BIOMET, INC. SEGMENT WITH MALE/FEMALE TAPER 40 MM LENGTH; PROSTHESIS, KNEE

Model Number N/A

Device Problem Adverse Event Without Identified Device or Use Problem (2993)

Patient Problem Unspecified Infection (1930)

Event Date 12/16/2020

Event Type  Injury  

Manufacturer Narrative

(b)(4).Multiple mdr reports were filed for this event, please see associated report: 0001822565-2020-04190.0001822565-2020-04191.0001822565-2020-04193.0001822565-2020-04194.Medical product: distal femoral xt component size b left item# 00585004201 ; lot# 64833183.Segment with male/female taper 100 mm length item# 00585004610 ; lot# 64364382.Segment with male/male taper 80 mm length item# 00585004808 ; lot# 63929410.Articular surface with segmental hinge post size b 12 mm height item# 00585002012 ; lot# 64423658.Foreign report source: (b)(6).Customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.

Event Description

It was reported that a patient was revised approximately six weeks post implantation due to infection.There is no additional information at this time.

Manufacturer Narrative

This follow-up report is being submitted to relay additional information.The reported event of deep infection <90 days occurred post implantation.During the investigation process a review of the sterile certifications were reviewed and found to be conforming with no applicable deviations.Devices were verified to have gone through acceptable sterilization process following iso/aami/astm & eu published guidelines.There are multiple factors that may contribute to an infection that are outside the control of zimmer biomet, such as external factors, i.E.Hospital/surgical environment, provider related risk factors, and/or patient comorbidities/risk factors.As there are no indications of a product or process issues identified affecting implant safety or effectiveness, therefore implanted products are not identified as the source or contributing to the reported infection.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 at the time of this report.

• Brand Name: SEGMENT WITH MALE/FEMALE TAPER 40 MM LENGTH
• Type of Device: PROSTHESIS, KNEE
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• MDR Report Key: 11059424
• MDR Text Key: 223717094
• Report Number: 0001822565-2020-04192
• Device Sequence Number: 1
• Product Code: KRO
• UDI-Device Identifier: 00889024196001
• UDI-Public: (01)00889024196001
• Combination Product (y/n): N
• PMA/PMN Number: K070978
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,foreig
• Type of Report: Initial,Followup
• Report Date: 01/07/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 12/22/2020
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: N/A
• Device Catalogue Number: 00585004604
• Device Lot Number: 64243509
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 12/29/2020
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Treatment: SEE H10
• Patient Outcome(s): Hospitalization; Required Intervention