MAUDE Adverse Event Report: ZIMMER GMBH ANN BLUNT TIP SCREW 4X40MM; TRAUMA IMPLANT

Model Number	N/A
Medical Device Problem Code	Migration (4003)
Health Effect - Clinical Code	Failure of Implant (1924)
Date of Event	08/05/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that after 9 months from the initial implantation one of the proximal screws was backed out from the proper position.The patient's health is fine, the screw has not been removed and no revision surgery has been performed.There is no reported harm or injury to the patient, however this malfunction has caused a serious injury in the past.Due diligence has been completed for this complaint; to date all available additional information has been received.
Additional Manufacturer Narrative
(b)(4).D4: product id was provided for four screws however, it is unknown which of the screws has migrated.Therefore, the migrated screw could be any of the following: 47248604040 ¿ blunt tip screw ¿ 3164756.Udi: (b)(4).Manufacturing date: jun 26, 2023.Expiration date: jun 26, 2028.47248603840 ¿ ann blunt tip screw 4x38mm ¿ 3149853.(b)(4).Manufacturing date: mar 2, 2023.Expiration date: mar 2, 2028.47248603840 ¿ ann blunt tip screw 4x38mm ¿ 3149853.(b)(4).Manufacturing date: mar 2, 2023.Expiration date: mar 2, 2028.D10: 47-2486-038-40 ann blunt tip screw 4x38mm 3149853.47-2486-038-40 ann blunt tip screw 4x38mm 3149853.47-2486-126-40 ann cort bone screw 4 x 26mm 3170717.47-2486-128-40 ann cort bone screw 4 x 28mm 3160726.47-2488-010-00 affixus ph nl cap 0mm 3169765.47-2496-160-09 proximal humerus, right, ã¿ 9x160mm 3141969.G2: foreign: japan.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental mdr will be submitted.
Event or Problem Description
No additional event information at this time.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.A review of the device manufacturing records confirmed no abnormalities or deviations.Review of the complaint histories identified additional similar complaints for the reported items and the part and lot combinations.Complaints are monitored per complaint trending process in order to identify potential adverse trends.It can be assumed that multiple contributing factors, related to either patient condition and behavior or implantation procedure, contributed to the migration of the screws.If and to what extent any of these aspects may have influenced the migration of the screw remains unknown.An additional deeper investigation was performed which identified the design limitation of the corelock mechanism of the affixus nail as a potential contributing factor.As part of the deeper investigation, a scientific literature search was conducted and a systematic review of the outcome of intramedullary nailing for acute proximal humerus fracture showed that screw migration and perforation into the joint is the second most common complication following secondary loss of reduction.In addition, scientific literature of competitor and predicate devices were assessed.This review has shown that the affixus® natural nail® proximal humeral system performs better and/or in equal range in comparison with legally marketed similar devices.In conclusion, as the cause may be multifactorial an exact root cause could not be identified for the migration of the screw.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.

• Brand Name: ANN BLUNT TIP SCREW 4X40MM
• Common Device Name: TRAUMA IMPLANT
• Manufacturer (Section D): ZIMMER GMBH; sulzer allee 8; sulzer industrie park; winterthur 8404 ; SZ 8404
• Manufacturer (Section G): ZIMMER GMBH; sulzer allee 8; sulzer industrie park; winterthur 8404 ; SZ 8404
• Manufacturer Contact: christina arnt ; 56 e. bell dr.; warsaw, IN 46582 ; 5745273773
• MDR Report Key: 20015235
• Report Number: 0009613350-2024-00384
• Device Sequence Number: 18329928
• Product Code: HSB
• UDI-Device Identifier: 00889024505445
• UDI-Public: (01)00889024505445(17)280626(10)3164756
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K200814
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2023
• 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
• Report Date (Section B): 09/05/2024

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: Lay User/Patient
• Device Model Number: N/A
• Device Catalogue Number: 47248604040
• Device Lot Number: 3164756
• Was Device Available for Evaluation?: No
• 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: 08/05/2024
• Supplement Date Received by Manufacturer: 09/05/2024
• Initial Report FDA Received Date: 08/21/2024
• Supplement Report FDA Received Date: 09/05/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 06/26/2023
• 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
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: SEE H11 NARRATIVE.
• Patient Sex: Unknown