FDA Adverse Event Injury Summary report: N

CER BIOLOXD OPTION HD 40MM

MDR report key: 22936427 · Received September 2, 2025

Report

Report Number
3002806535-2025-00437
Event Type
Injury
Date Received
September 2, 2025
Date of Event
August 8, 2025
Report Date
October 30, 2025
Manufacturer
BIOMET UK LTD.
Product Code
LZO
UDI-DI
00887868271403
PMA / PMN Number
K200959
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND/OR CORRECTED INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, B5, G3, G6, H2, H3, H6, H11. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; A PRODUCT EVALUATION COULD NOT BE PERFORMED. A REVIEW OF THE DEVICE MANUFACTURING RECORDS CONFIRMED NO ABNORMALITIES OR DEVIATIONS. REVIEW OF THE COMPLAINT HISTORY IDENTIFIED ADDITIONAL SIMILAR COMPLAINTS FOR THE REPORTED ITEM AND NO ADDITIONAL SIMILAR COMPLAINTS FOR THE REPORTED PART AND LOT COMBINATION. A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). D10: G7 OSSEOTI MULTIHOLE 54MM F; ITEM NUMBER# 110010265; LOT NUMBER# 66733745. 40MM I.D. SIZE F NEUTRAL LINER; ITEM NUMBER# 30104006; LOT NUMBER# 67221594. ARCOS TROCH CLAW LARGE 100MM; ITEM NUMBER# 11-302101; LOT NUMBER# 443610. ARCOS LATERAL TROCH BOLT 36MM; ITEM NUMBER# 11-302136; LOT NUMBER# 591590. CER OPTION TYPE 1 TPR SLEVE -6; ITEM NUMBER# 650-1064; LOT NUMBER# 3062109. ARCOS CON SZ B HI 70MM; ITEM NUMBER# 11-301332; LOT NUMBER# 65961078. G2: FOREIGN ¿ AUSTRALIA. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT APPROXIMATELY TWO MONTHS POST-IMPLANTATION, THE PATIENT UNDERWENT A HIP REVISION DUE TO A DISLOCATION. ATTEMPTS HAVE BEEN MADE, AND ALL ADDITIONAL INFORMATION RECEIVED HAS BEEN INCLUDED IN THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2074543 CER BIOLOXD OPTION HD 40MM HIP PROSTHESIS LZO BIOMET UK LTD. 3189328 00887868271403

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| R SEE H11 NARRATIVE