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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. VARIABLE LOCK SCREW 4.75X15MM PROSTHESIS, WRIST

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ZIMMER BIOMET, INC. VARIABLE LOCK SCREW 4.75X15MM PROSTHESIS, WRIST Back to Search Results
Model Number N/A
Device Problems Migration or Expulsion of Device (1395); Inadequacy of Device Shape and/or Size (1583)
Patient Problems Pain (1994); Burning Sensation (2146); Tingling (2171)
Event Date 09/26/2014
Event Type  Injury  
Manufacturer Narrative
This follow-up report is being submitted to relay additional information. Reported event was unable to be confirmed due to limited information received from the customer. Dhr was reviewed and no discrepancies were found. Review of the complaint history determined that no further action is required. Root cause was unable to be determined as the necessary information to adequately investigate the reported event was not provided. 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 Description
It was reported by the patient¿s legal counsel that the patient underwent wrist arthroplasty. Subsequently, it is alleged that the patient is experiencing tingling, burning, and pain in her fingers, a painful lump in her wrist, loosening, as well as nerve/ tendon irritation from the prosthesis being too large for the patient. No revision procedure has been reported to date. No additional patient consequences were reported. Attempts have been made and additional information on the reported event is unavailable.
 
Manufacturer Narrative
(b)(4).
 
Manufacturer Narrative
Concomitant medical products - cobalt hv bone cement 40g, catalogue# 402282, lot# 979340. Received and reviewed primary surgical operative notes. The preop/postop diagnosis was right wrist osteoarthritis and right wrist scapholunate advanced collapse. The procedure included a right arthroplasty, proximal row carpectomy and posterior interosseous nerve neurectomy. With regards to sizing, the surgeon trialed the capitate plate with a 6mm augment which was too large. The surgeon then went to the smallest carpal head which seemed to fit well; however, he did have to trim the captitate head with an oscillating saw as well as remove a small portion of the trapezoid in order to have the plate fit flush. On the radial side, the surgeon reamed for a 26mm. The trial implant was placed and found to be proud. The surgeon recut approximately 3mm more in order to seat the trial. All trials were then placed and found to reproduce anatomy well allowing approximately 2mm of distraction. The final implants were placed and found to be satisfactory. No complications were noted during the procedure per the surgeon. Root cause remains undetermined. 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.
 
Manufacturer Narrative
(b)(4). Concomitant product(s): a 180151, maestro rad w/brg 7x15 7. 5 rt, 002440. A 180354, variable lock screw 4. 75x35mm, 551310. A 180363, maestro tc carpalhd 7x15mm std, 457600. A 180395, maestro tc carpal plate 9x37mm, 605040. A 180181, maestro radial stem 6. 0x40mm, 172020. A 180320, maestro tc capitatestem 6x12mm, 091780. Customer has indicated that the product will not be returned to zimmer biomet for investigation. The investigation is in process. 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: 0001825034 - 2018 - 00332, 0001825034 - 2018 - 00334, 0001825034 - 2018 - 00335, 0001825034 - 2018 - 00336.
 
Event Description
It was reported by the patient¿s legal counsel that the patient underwent wrist arthroplasty. Subsequently, the patient is experiencing tingling, burning, pain in her fingers, a painful lump in her wrist, and loosening. Patient was referred to hand therapist for splint fabrication. No revision procedure has been reported to date. Attempts have been made and additional information on the reported event is unavailable.
 
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Brand NameVARIABLE LOCK SCREW 4.75X15MM
Type of DevicePROSTHESIS, WRIST
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 Key7217038
MDR Text Key122528185
Report Number0001825034-2018-00333
Device Sequence Number1
Product Code JWJ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PK080426
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation
Type of Report Initial,Followup,Followup,Followup
Report Date 03/09/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/24/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator
Device Expiration Date07/28/2018
Device Model NumberN/A
Device Catalogue Number180350
Device Lot Number551350
Other Device ID NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received03/08/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/01/2008
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A

Patient Treatment Data
Date Received: 01/24/2018 Patient Sequence Number: 1
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