FDA Adverse Event Injury Summary report: N

ARCOS CON SZ B HI 60MM

MDR report key: 23125669 · Received September 23, 2025

Report

Report Number
0001825034-2025-02986
Event Type
Injury
Date Received
September 23, 2025
Date of Event
September 5, 2024
Report Date
January 15, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KWA
UDI-DI
00880304474093
PMA / PMN Number
K090757
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D4; H2; H4; H6. MEDICAL RECORDS/RADIOGRAPHS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: PATIENT HAD LEFT TOTAL HIP ARTHROPLASTY ON AN UNKNOWN DATE FOLLOWED BY A REVISION DUE TO INFECTION. DURING THE REVISION A TROCHANTERIC FRACTURE WAS FOUND AND A LARGE PLATE AND BOLT WERE PLACED ALONG WITH CERCLAGE CABLES FOR FIXATION. SUBSEQUENTLY THE PATIENT BEGAN EXPERIENCING PAIN AND SWELLING. PATIENT UNDERWENT A PROCEDURE FOR POSSIBLE REMOVAL. DURING THE PROCEDURE THE SCREW WAS SEEN TO BE STILL IN PLACE BUT COMPLETELY LOOSE. THE SCREW WAS REMOVED. THE PLATE IS STILL WELL FIXED AND THEREFORE WAS NOT REMOVED. AN X-RAY IMAGE WAS REVIEWED AND NOT SUBMITTED TO RADIOLOGY AS THE TIMEFRAME DOES NOT ALIGN WITH THE ALLEGATION. THE DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. A DEFINITIVE ROOT CAUSE CANNOT 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

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED: B1, B3, B5, D6, H1, H2, H6.

Additional Manufacturer Narrative · 0

(B)(4). G2 FOREIGN: NETHERLANDS. H6 PROPOSED COMPONENT CODE: MECHANICAL (G04) - STEM THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS, AS THE DEVICE REMAINS IMPLANTED; 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 A PATIENT HAD A LEFT TOTAL HIP ARTHROPLASTY ON AN UNKNOWN DATE FOLLOWED BY A REVISION DUE TO INFECTION. DURING THE REVISION, A TROCHANTERIC FRACTURE WAS FOUND AND A LARGE PLATE AND BOLT WERE PLACED, ALONG WITH CERCLAGE CABLES FOR FIXATION. SUBSEQUENTLY, THE PATIENT BEGAN TO EXPERIENCE PAIN AND SWELLING APPROXIMATELY NINE (9) MONTHS LATER, UNDERWENT A PROCEDURE FOR POSSIBLE REMOVAL. DURING THE PROCEDURE, THE SCREW WAS FOUND COMPLETELY LOOSE, THE PLATE WAS WELL FIXED, AND A PROXIMAL CERCLAGE WAS BROKEN. THE BOLT WAS REMOVED AND THE PLATE WAS RETAINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A CASE WHERE ARCOS PROSTHESIS WAS IMPLANTED AND AN ARCOS TROCHANTERIC CLAW WAS USED. THE TROCANTERIC BOLT THAT IS USED TO FIX THE CLAW TO THE PROXIMAL BODY HAS POST OPERATIVELY BACKED OUT OF THE SCREW HOLE. THE BOLT AND CLAW ARE STILL SOMEWHAT IN PLACE, ALTHOUGH THE BOLT HAS BACKED OUT A BIT. THE DEVICES ARE STILL IN SITU IN THIS PATIENT. THERE IS NO SURGERY DATE OF THE REMOVAL OF THESE ITEMS. TROCHANTERIC BOLT IS BACKING OUT OF THE ARCOS CONE PROXIMAL BODY, WHICH CAUSES LOOSENING OF THE ARCOS TROCHANTERIC CLAW. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
734011 ARCOS CON SZ B HI 60MM PROSTHESIS, HIP KWA ZIMMER BIOMET, INC. 66241730 00880304474093

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization| R BIOMET ARCOS STEM.ITEM: 11300916 LOT: 66552441.