MAUDE Adverse Event Report: ZIMMER SWITZERLAND MANUFACTURING GMBH CMN FEMORAL NAIL, CCD 125 RIGHT, 9.3 MM, 18 CM; ZIMMER NATURAL NAIL SYSTEM CEPHALOMEDULLARY FEMORAL NAIL - ASIA SHORT

Model Number N/A

Device Problems Device-Device Incompatibility (2919); Mechanical Jam (2983)

Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)

Event Date 02/25/2021

Event Type  Injury  

Manufacturer Narrative

The manufacturer did not receive x-rays or other source documents for review.The manufacturer did not receive the device for investigation.Where lot numbers were received for the devices, the device history records were reviewed and found to be conforming.A cause for this specific event cannot be ascertained from the information provided.As soon as supplemental information becomes available an updated report will be submitted.Zimmer biomet¿s reference number of this file is (b)(4).

Event Description

It was reported that the bolt could not be fixed when connecting to the device.This might be due to the issue on the thread.

Manufacturer Narrative

This follow-up report is being submitted to relay corrected and additional information.Event description: it was reported that during a warehouse check in japan on the (b)(6) 2021 the znn cmn nail couldn't be properly assembled with the connection bolt possibly due to issues with the thread of the nail.Review of received data: no medical data relevant to the case has been received.Due diligence: no further due diligence required as all required information to support the conclusion is available or was already requested.Product evaluation: visual examination: the visual examination shows a shiny surface present at the start of the thread along with signs of wear, confirming the reported attempts made of assembling the connection bolt to the znn cmn nail.Functional test: a functional test was performed on the returned znn cmn nail with the connection bolt.The results of the functional test was negative.The connection bolt couldn't be assembled to the znn cmn nail.Deeper manufacturing investigation: a deeper manufacturing investigation was performed and a cad simulation was generated.There is an offset in the axis y4+ due to the milling tool not being used concentrically to the turning diameter.Review of product documentation: device purpose: this device is intended for treatment.Product compatibility: the product combination of the connection bolt and znn cmn nail was approved by zimmer biomet.Conclusion: it was reported that during a warehouse check in japan on the (b)(6) 2021 the znn cmn nail couldn't be properly assembled with the connection bolt possibly due to issues with the thread of the nail.The investigation did identify a nonconformance or a complaint out of box (coob).The visual examination shows a shiny surface present at the start of the thread along with signs of wear, confirming the reported attempts made of assembling the connection bolt to the znn cmn nail.The functional test done with the connection bolt produced a negative result.The connection bolt could not be assembled to the znn cmn nail.A deeper manufacturing investigation was performed and a cad simulation was generated.It was discovered that there is an offset in the axis y4+ due to the milling tool not being used concentrically to the turning diameter.This offset in concentricity between the m11 thread and the ø10.185 core-diameter prevents the connection bolt being assembled with the znn cmn nail.Based on the given information and the results of the investigation, we identified the root cause to be a manufacturing issue.Further actions were initiated and are covered in issue evaluation ie-17143.Based on the investigation the report event can be confirmed.The need for corrective measures is not indicated and zimmer gmbh considers this case as closed.Zimmer biomet¿s reference number of this file is (b)(4).

Event Description

No change to previously reported event.

• Brand Name: CMN FEMORAL NAIL, CCD 125 RIGHT, 9.3 MM, 18 CM
• Type of Device: ZIMMER NATURAL NAIL SYSTEM CEPHALOMEDULLARY FEMORAL NAIL - ASIA SHORT
• Manufacturer (Section D): ZIMMER SWITZERLAND MANUFACTURING GMBH; sulzer allee 8; sulzer industrie park; winterthur 8404 ; SZ 8404
• MDR Report Key: 11560649
• MDR Text Key: 243608959
• Report Number: 0009613350-2021-00143
• Device Sequence Number: 1
• Product Code: HSB
• UDI-Device Identifier: 00889024298637
• UDI-Public: 00889024298637
• Combination Product (y/n): N
• PMA/PMN Number: K120715
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: foreign
• Type of Report: Initial,Followup
• Report Date: 05/04/2021

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 Model Number: N/A
• Device Catalogue Number: 47-2493-180-09
• Device Lot Number: 3031716
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/24/2021
• Was the Report Sent to FDA?: No
• Initial Date Manufacturer Received: 02/25/2021
• Initial Date FDA Received: 03/24/2021
• Supplement Dates Manufacturer Received: 04/30/2021
• Supplement Dates FDA Received: 05/04/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Patient Outcome(s): Other