CER BIOLOXD OPTION HD 40MM
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
(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.
(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.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
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 |