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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET FRANCE S.A.R.L. OPTIGUN RATCHET; DISPENSER, CEMENT

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BIOMET FRANCE S.A.R.L. OPTIGUN RATCHET; DISPENSER, CEMENT Back to Search Results
Catalog Number 4195
Device Problems Partial Blockage (1065); Defective Component (2292); Mechanical Jam (2983); Device Handling Problem (3265)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 04/17/2018
Event Type  malfunction  
Manufacturer Narrative
(b)(4).(b)(6).The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Batch number not communicated.
 
Event Description
It has been reported that the surgeon had commenced cementing and, whilst cementing, the ratchet gun ceased working half way through cementing.This event caused a brief delay in the completion of the cementing process.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.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).The device manufacturing quality record could not be reviewed as it was not possible to retrieve the lot number of the product.Complaint sample was evaluated and the reported event could not be confirmed.The returned product worked well when the trigger was activated.According to the available data, the most probable root cause is a handling error.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 has been reported that the surgeon had commenced cementing and whilst cementing, the ratchet gun ceased working half way through cementing.This event caused a brief delay in the completion of the cementing process.
 
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Brand Name
OPTIGUN RATCHET
Type of Device
DISPENSER, CEMENT
Manufacturer (Section D)
BIOMET FRANCE S.A.R.L.
plateau de lautagne bp75
valence cedex 26903
FR  26903
MDR Report Key7517505
MDR Text Key108374318
Report Number3006946279-2018-00162
Device Sequence Number1
Product Code KIH
Combination Product (y/n)N
PMA/PMN Number
PN/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional
Type of Report Initial,Followup,Followup
Report Date 03/14/2019
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
Device Operator Health Professional
Device Catalogue Number4195
Device Lot NumberNOT COMMUNICATED
Other Device ID Number(01) 07350023771603
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/20/2018
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 04/17/2018
Initial Date FDA Received05/16/2018
Supplement Dates Manufacturer Received04/17/2018
01/29/2019
Supplement Dates FDA Received09/05/2018
03/20/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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