MAUDE Adverse Event Report: ZIMMER BIOMET, INC. BIOMET UNKNOWN G7 E1 NEUTRAL LINER; PROSTHESIS, HIP

Model Number N/A

Device Problem Insufficient Information (3190)

Patient Problem Impaired Healing (2378)

Event Date 05/12/2017

Event Type  Injury  

Manufacturer Narrative

(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the device remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Medical devices: item # unk, stem, lot # unk, item # unk, head, lot # unk, item # unk, shell, lot # unk.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2018 - 05388, 0001825034 - 2018 - 05389, 0001825034 - 2018 - 05391.

Event Description

It was reported that approximately 4 weeks post implantation, the patient underwent an i&d due to non-healing wound.Attempts have been made and no further information has been provided.

Manufacturer Narrative

This report is being submitted to relay additional information.Concomitant medical products: item # (b)(4), stem, lot # unk.

Manufacturer Narrative

This report is being submitted to relay additional information.Concomitant medical products: item # (b)(4), head, lot # unk.The following sections have been corrected: patient bmi.

Manufacturer Narrative

This report is being submitted to relay additional information.Concomitant medical products: (b)(4), taper sleeve, lot # unk.An additional report has been filed for this event.Please see associated report 0001825034-2018-08846.Reported event was unable to be confirmed due to limited information received from the customer.Device history record (dhr) review was unable to be performed as the lot number of the device involved in the event is unknown.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.

• Brand Name: BIOMET UNKNOWN G7 E1 NEUTRAL LINER
• Type of Device: PROSTHESIS, HIP
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• MDR Report Key: 7761705
• MDR Text Key: 116386539
• Report Number: 0001825034-2018-05390
• Device Sequence Number: 1
• Product Code: JDG
• Combination Product (y/n): N
• PMA/PMN Number: PNI
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional,study
• Type of Report: Initial,Followup,Followup,Followup
• Report Date: 09/20/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/08/2018
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: N/A
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 09/18/2018
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization; Required Intervention
• Patient Age: 55 YR
• Patient Weight: 64