FDA Adverse Event Injury Summary report: N

AVENIR COMPLETE

MDR report key: 22778909 · Received August 11, 2025

Report

Report Number
0001822565-2025-02879
Event Type
Injury
Date Received
August 11, 2025
Date of Event
July 16, 2025
Report Date
September 17, 2025
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LZO
UDI-DI
00889024509160
PMA / PMN Number
K182048
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: CAT: 802203205 LOT: 3051621 FEMORAL HEAD G2: FOREIGN ¿ AUSTRALIA H6: MECHANICAL (G04) - STEM. THE CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS ITS LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: A1; A2; A3; G3; H2. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D4; G3; H2; H3; H4; H6. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORD IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. MEDICAL RECORDS WERE NOT PROVIDED. A DEFINITIVE ROOT CAUSE OF THE REPORTED FALL CANNOT BE DETERMINED; HOWEVER, IT WAS NOTED THERE WAS A PATIENT NON-COMPLIANCE BUT WHAT THE NON-COMPLIANCE WAS IS UNKNOWN AT THIS TIME. UNABLE TO CONFIRM COMPLAINT. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT APPROXIMATELY ONE-WEEK POST-IMPLANTATION, THE PATIENT UNDERWENT A HIP REVISION DUE TO A FALL AND PERI-PROSTHETIC FRACTURE. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 0

NO FURTHER INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2171597 AVENIR COMPLETE PROSTHESIS, HIP LZO ZIMMER BIOMET, INC. 3233537 00889024509160

Patients

Seq Age Sex Outcome Treatment
1 66 YR Male Hospitalization| R