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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. G7 NEUTRAL E1 LINER 32MM C; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. G7 NEUTRAL E1 LINER 32MM C; PROSTHESIS, HIP Back to Search Results
Model Number N/A
Device Problem Difficult to Insert (1316)
Patient Problem Bone Fracture(s) (1870)
Event Date 01/31/2020
Event Type  Injury  
Manufacturer Narrative
(b)(4).(b)(6).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.Multiple mdr reports were filed for this event, please see associated reports: 0001825034-2020-01280.
 
Event Description
It was reported the e1 liner would not assemble with g7 acetabular shell.The acetabular bone fractured when the liner was driven into the shell.This surgery was finished with a backup liner.It was reported that no further information is available.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
Complaint sample was evaluated and the reported event was confirmed.Upon visual inspection there is damage to the locking feature and circular indentations on the outside diameter of the device.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to be determined.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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Brand Name
G7 NEUTRAL E1 LINER 32MM C
Type of Device
PROSTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key9875602
MDR Text Key186121734
Report Number0001825034-2020-01279
Device Sequence Number1
Product Code LPH
Combination Product (y/n)N
PMA/PMN Number
K121874
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 06/19/2020
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 Expiration Date09/29/2023
Device Model NumberN/A
Device Catalogue Number010000847
Device Lot Number6384397
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/23/2020
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 03/02/2020
Initial Date FDA Received03/24/2020
Supplement Dates Manufacturer Received06/18/2020
Supplement Dates FDA Received06/19/2020
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Treatment
UNKNOWN CUP
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