MAUDE Adverse Event Report: ZIMMER BIOMET, INC. DISTAL LATERAL FIBULAR PLATE RIGHT 4 HOLES 80 MM LENGTH; PLATE, FIXATION

Model Number	N/A
Medical Device Problem Codes	Corroded (1131); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Failure of Implant (1924); Pain (1994); Hyperresponsive to stimuli (4538); Swelling/ Edema (4577)
Date of Event	02/07/2022
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
(b)(4).Report source: (b)(6).The customer has not indicated whether the product will be returned to zimmer biomet for investigation or not.Once this information is obtained a follow-up mdr will be submitted.
Event or Problem Description
It was reported that the plate explanted from patient showed signs of corrosion.Attempts have been made and there is no further information at this time.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.D10: part: 47234801635, lot: 63085306, cortical bone screw self-tapping hex head 3.5 mm diameter 16 mm length; part: 47482801402, lot: 63202015, 2.7 mm locking screw 14 mm length; part: 47234801835, lot: 63098016, cortical bone screw self-tapping hex head 3.5 mm diameter 18 mm length; part: 47482801602, lot: 63457984, 2.7 mm locking screw 16 mm length; part: 47482801602, lot: 63457984, 2.7 mm locking screw 16 mm length; part: 47482801602, lot: 63457984, 2.7 mm locking screw 16 mm length; part: 47482801602, lot: 63488874, 2.7 mm locking screw 16 mm length; part: 47235901638, lot: 63174173, 3.5 mm locking screw with 2.7 mm head 16 mm length.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 - 2022 - 00730, 0001822565 - 2022 - 00731, 001822565 - 2022 - 00732, 0001822565 - 2022 - 00733, 0001822565 - 2022 - 00734, 0001822565 - 2022 - 00735, 0001822565 - 2022 - 00736, 0001822565 - 2022 - 00784.
Event or Problem Description
It was reported that patient underwent right ankle open reduction internal fixation procedure.Subsequently swelling, pain, sensitivity, discoloration, and unable to wear shoes was reported with plate and all screws removed with no complications.No further information was provided.
Event or Problem Description
No additional event information is available at the time of this report.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Reported event was confirmed by review of medical records.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to 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.H3 other text: device location unknown.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d2, d9, g3, g6, h1, h2, h3, h6, h11.Complaint sample was evaluated and the reported event was confirmed.Visual examination of the returned products identified discoloration on the fibular plate around three screw holes and one locking screw.The discolored screw was sent for further analysis.Eds semi-quantitative elemental analysis of the discolored regions on the screw head revealed foreign elements.It revealed c, n, o, na, mg, p, cl, k, and ca as the major foreign elements.The source of these elements could be from various potential contaminants including biological soft tissue and bone, dried biological fluids (i.E.Blood), bone cement (calcium phosphate-based), corrosion/metal oxide product or various decontamination solutions (i.E.Hospital detergents).Therefore, the source of these elements is inconclusive.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to 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.
Event or Problem Description
No further event information is available at the time of this report.

• Brand Name: DISTAL LATERAL FIBULAR PLATE RIGHT 4 HOLES 80 MM LENGTH
• Common Device Name: PLATE, FIXATION
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• Manufacturer (Section G): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• Manufacturer Contact: christina arnt ; 56 e. bell dr.; warsaw, IN 46582 ; 5745273773
• MDR Report Key: 13569464
• Report Number: 0001822565-2022-00540
• Device Sequence Number: 5833966
• Product Code: HRS
• UDI-Device Identifier: 00889024088498
• UDI-Public: (01)00889024088498(17)251031(10)63202115
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: K070906
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2017
• Device Explanted Year: 2022
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup,Followup
• Report Date (Section B): 03/31/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 10/31/2025
• Device Model Number: N/A
• Device Catalogue Number: 47235701704
• Device Lot Number: 63202115
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/10/2022
• Supplement Date Received by Manufacturer: 03/07/2022; 07/12/2022; 03/18/2025
• Initial Report FDA Received Date: 02/21/2022
• Supplement Report FDA Received Date: 03/24/2022; 07/27/2022; 03/31/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 11/11/2015
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement: N/A
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: SEE NARRATIVE IN H10.
• Outcome Attributed to Adverse Event: Hospitalization; Required Intervention
• Patient Age: 44 YR
• Patient Sex: Female