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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ARTICULAR SURFACE W/HINGE POST EXTENSION SCREW SIZE B 12 MM; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. ARTICULAR SURFACE W/HINGE POST EXTENSION SCREW SIZE B 12 MM; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Medical Device Problem Code Packaging Problem (3007)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/09/2022
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).The product has been received by zimmer biomet.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event or Problem Description
It was reported during a revision procedure, went to open implant delivered from central inventory and when package was opened it was damaged and the locking post was outside of sterile packaging.
 
Event or Problem Description
No further event information available at the time of this report.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated/corrected: updated: b4, b5, g3, g6, h1, h2, h3, h6, h10.  visual inspection of returned packaging found the carton to exhibit slight damage.Carton had been previously opened.Opened carton performed a visual inspection found the hinge post extension free within the carton and after peeling tyvek , close inspection of the cavities found that the inner and outer cavities are both cracked/fractured completely through.Sterility has been compromised.Review of the device history records identified no (related) deviations or anomalies during manufacturing.Reported event is not related to a combination of products; therefore a compatibility review is not applicable.Review of complaint history found no additional related issues for this item and the reported part and lot combination.Medical records were not provided.The device was conforming to specifications when it left zimmer biomet.The root cause is determined to be transit damage.No corrective actions, preventive actions, or field actions resulted after investigation of this event.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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Brand Name
ARTICULAR SURFACE W/HINGE POST EXTENSION SCREW SIZE B 12 MM
Common Device Name
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key14604922
Report Number0001822565-2022-01713
Device Sequence Number20099898
Product Code KRO
UDI-Device Identifier00889024199187
UDI-Public(01)00889024199187(17)230331(10)63988110
Combination Product (Y/N)N
Initial Reporter StateNE
Initial Reporter CountryUS
PMA/510(K) Number
K173057
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 06/27/2022
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
Operator of Device Health Professional
Device Expiration Date03/31/2023
Device Model NumberN/A
Device Catalogue Number00588002012
Device Lot Number63988110
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/16/2022
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 05/11/2022
Supplement Date Received by Manufacturer06/22/2022
Initial Report FDA Received Date06/06/2022
Supplement Report FDA Received Date07/07/2022
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/26/2018
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 Number1
Patient SexUnknown
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