(b)(4).Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.Concomitant medical products: 010000925 g7 hi-wall e1 liner 6105267, 010000847 g7 neutral e1 liner 6483876, 010001000 g7 screw 6.5mm x 35mm 6301021, 010000996 g7 screw 6.5mm x 15mm 6204657, 010000996 g7 screw 6.5mm x 15mm 6564355.Report source: (b)(6).Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2019 - 04455, 0001825034 - 2019 - 04454.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
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This follow-up report is being submitted to relay additional information.Udi# (b)(4).Reported event was confirmed with product return.Visual examination of the returned liners identified dimples at the apex consistent with a punch used to extract the liners from the shell.The barbs have been deformed and flattened during attempts to seat and remove the liners from the shell.Scratches and pitting were observed on the outer radius.Two distinct indentations were present on the outer radius of the high wall liner, in the shape of the head of a bone screw and a circular indentation on the outer radius of the neutral liner.The shell was also returned; scratches were observed on the shell's inner radius and rim.No damage, deformation, or debris were observed during inspection of the locking groove.Review of the device history records identified no deviations or anomalies during manufacturing.The root cause of the reported issue is attributed to the presence of screws impinging on the liner.A summary of the investigation was sent to the complainant conveying proper surgical technique and use of the device.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.
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