SLOTTED MALLET N/A 281001003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-02 for SLOTTED MALLET N/A 281001003 manufactured by Zimmer Biomet, Inc..

Event Text Entries

[88234049] The complaint was confirmed through decontamination images. This is a known issue with the root cause having been previously identified to be related to the product design. The failure mode has been previously addressed in a health hazard evaluation (hhe). Corrective action for this failure mode has already been taken. There is no indication of a manufacturing related defect and it is likely that the product was distributed in conformance to the specification in effect at the time. The product was made prior to the implementation of the corrective action based off lot numbering scheme. The trend of reported complaints appears to be upward based off yearly complaints. However, if you look at monthly complaints in 2013 and 2014, the trend appears to be downward with a minor spike in (b)(6) 2013 with last complaint seen in (b)(6) 2014. There are no circumstances related to this event that contradict the conclusion of the previously performed hhe which concluded that the risk is broadly acceptable. No further action is required at this time. No supplier dhr could be located, therefore a review of the device history records could not be performed. Review of complaint history was done. Corrective and preventive action taken in (b)(4). Relayed completion of the investigation to the sales rep via phone on august 25, 2014. 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.
Patient Sequence No: 1, Text Type: N, H10


[88234050] It was reported that during a smith and nephew total hip arthroplasty, the surgeon was using a slotted mallet when the handle fractured during impaction. Another mallet was used to complete the procedure with no delay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001825034-2017-07582
MDR Report Key6907225
Date Received2017-10-02
Date of Report2017-09-28
Date Mfgr Received2014-05-14
Date Added to Maude2017-10-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. CHRISTINA ARNT
Manufacturer Street56 E. BELL DR.
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1ZIMMER BIOMET, INC.
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal Code46582
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report0

Device Details

Brand NameSLOTTED MALLET
Generic NameINSTRUMENT - JOINT
Product CodeHXL
Date Received2017-10-02
Returned To Mfg2014-08-06
Model NumberN/A
Catalog Number281001003
Lot NumberEC2J64
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZIMMER BIOMET, INC.
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-02

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