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This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d9, g2, g3, g6, h2, h3, h6, h11.The product involved in the reported event was returned for investigation.Visual evaluation showed that the retaining spring inside the mechanism appears to be fractured at one end, rendering the slap hammer unusable.Not all portions of the spring were returned; however, no debris was reported to have fallen or remained in the patient.The product shows signs of use, including dings and scratches on the tip and slap-hammer segment, consistent with its time in service (approximately three years).A review of the device manufacturing records confirmed no abnormalities or deviations that could be related to the reported event.Review of the complaint history identified additional similar complaints for the reported item and no additional similar complaints for the reported part and lot combination.A definitive root cause could not be determined.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.
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