G7
Report
- Report Number
- 0001825034-2025-03880
- Event Type
- Injury
- Date Received
- December 8, 2025
- Date of Event
- September 21, 2019
- Report Date
- April 22, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- PBI
- UDI-DI
- 00880304527164
- PMA / PMN Number
- K121874
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D4; G3; H2; H3; H6; H10. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. MEDICAL RECORDS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: 3-YEAR POST-OP PATIENT REPORTS SOMETIMES PARTICIPATING IN ACTIVITIES SUCH AS WALKING. MODERATE PAIN, SLIGHT LIMP, CANE USED MOST OF THE TIME. OFFICE VISIT PAIN 1 OUT OF 10, NO FURTHER PROBLEMS REPORTED. AMBULATES WITH WALKER. 5-YEAR POST-OP PATIENT REPORTS BEING MOSTLY INACTIVE. MODERATE PAIN, SLIGHT LIMP, USES TWO CANES. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. COMPLAINT IS CONFIRMED. 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.
(B)(4). D10: CAT# 650-1058; LOT# 771480; CER BIOLOXD OPTION HD 40MM. CAT# 650-1064; LOT# 843540; CER OPTION TYPE 1 TPR SLEVE -6. 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 INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.
IT WAS REPORTED THAT APPROXIMATELY THREE YEARS POST-HIP SURGERY, THE PATIENT EXPERIENCED MODERATE PAIN AND USING CANES FOR AMBULATION. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2422147 | G7 | PROSTHESIS, HIP | PBI | ZIMMER BIOMET, INC. | 3722429 | 00880304527164 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other |