MAUDE Adverse Event Report: ZIMMER GMBH FITMORE, HIP STEM, UNCEMENTED, B/5, TAPER 12/14; FITMORE HIP STEM B, SIZE 5

Model Number N/A

Device Problem Problem with Sterilization (1596)

Patient Problem No Code Available (3191)

Event Date 01/10/2020

Event Type  malfunction  

Manufacturer Narrative

The manufacturer received per for review.The manufacturer received the device for investigation.Where lot numbers were received for the devices, the device history records were reviewed and found to be conforming.A cause for this specific event cannot be ascertained from the information provided.As soon as supplemental information becomes available an updated report will be submitted.Zimmer biomet¿s reference number of this file is (b)(4).

Event Description

Prior to the surgery it was noticed that there was a hair in the sterile packaging of the implant.

Event Description

Please refer toreport 0009613350-2020-00037.

Manufacturer Narrative

This follow-up report is being filled to relay investigation result.Device analysis: the inner blister (ivp) was returned for investigation.It is still sealed and closed.The other packaging components have not been returned.The visual examination shows that there is a thin hair within the inner blister, sticking between the foam and the inner blister side.Further, no conspicuousness could be identified.Based on this visual examination the reported event can be confirmed.Review of product documentation: this device is intended for treatment.In the specification there is a visual check for foreign particles in the blisters included.The sterilization dose we use (gamma radiation between 25 and 40 kgy) is sufficient to kill an increased number of germs.Up to 1000 germs can be killed with the sterilization safety 1 : 1 000 000.Even if this hair had an even higher bacterial count, sterilization would have been successful with a sterilization safety that is still far higher than the sterility safety that the operating environment in the hospital can offer.Conclusion: it was reported that prior to the surgery it was noticed that there was a hair in the sterile packaging of the implant.The inner packaging (ivp) with the product in it was returned for investigation.The visual examination showed that there is a thin hair within the inner blister, sticking between the foam and the inner blister side.During packing the product in the finish department a visual check for foreign particles in the blisters was/is included.Based on this visual examination the reported event can be confirmed.However, the sterilization dose which is used (gamma radiation between 25 and 40 kgy) is sufficient to kill an increased number of germs.Up to 1000 germs can be killed with the sterilization safety 1 : 1 000 000.Even if this hair had an even higher bacterial count, sterilization would have been successful with a sterilization safety that is still far higher than the sterility safety that the operating environment in the hospital can offer.There is no risk to the patient or hospital staff.Fit, form, function, safety and effectiveness is still given.No further similar events for the same item # have ever been reported.The investigation results did not identify a non-conformance.The need for corrective measures is not indicated and zimmer gmbh considers this case as closed.Zimmer biomet¿s reference number of this file is (b)(4).

• Brand Name: FITMORE, HIP STEM, UNCEMENTED, B/5, TAPER 12/14
• Type of Device: FITMORE HIP STEM B, SIZE 5
• Manufacturer (Section D): ZIMMER GMBH; sulzer allee 8; sulzer industrie park; winterthur 8404 ; SZ 8404
• MDR Report Key: 9652432
• MDR Text Key: 191564117
• Report Number: 0009613350-2020-00037
• Device Sequence Number: 1
• Product Code: LZO
• UDI-Device Identifier: 00889024483118
• UDI-Public: 00889024483118
• Combination Product (y/n): N
• PMA/PMN Number: K071723
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: foreign,health professional
• Type of Report: Initial,Followup
• Report Date: 02/12/2020

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 Model Number: N/A
• Device Catalogue Number: 01.00551.205
• Device Lot Number: 2986337
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 01/22/2020
• Was the Report Sent to FDA?: No
• Initial Date Manufacturer Received: 01/10/2020
• Initial Date FDA Received: 01/31/2020
• Supplement Dates Manufacturer Received: 02/10/2020
• Supplement Dates FDA Received: 02/12/2020
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Patient Outcome(s): Other