FDA Adverse Event Injury Summary report: N

PEG FULLY THREAD 2.5MM X 18

MDR report key: 23817432 · Received December 16, 2025

Report

Report Number
0001825034-2025-03996
Event Type
Injury
Date Received
December 16, 2025
Date of Event
October 24, 2025
Report Date
April 28, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
HRS
UDI-DI
00887868452697
PMA / PMN Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED: B4; B5; D2; G1; G3; G6; H1; H2; H3; H6; H10 THE REPORTED CANNOT BE CONFIRMED. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORD(S) IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. MEDICAL RECORDS WERE NOT PROVIDED. THE DEVICE FUNCTIONED AS INTENDED WITHOUT AN ALLEGATION PRIOR TO THE SURGICAL PROCEDURE FOR REMOVAL PER PATIENT'S REQUEST, THIS REVISION IS CONSIDERED NOT DEVICE RELATED. NO PROBLEM WAS FOUND WITH THE REPORTED IMPLANTS. 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). G2: FOREIGN - THE EVENT OCCURRED IN JAPAN. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT. ASSOCIATED REPORTS ARE AVAILABLE FOR THE APPLICABLE CONCOMITANT PRODUCTS BELOW IN THE D10 NARRATIVE. D10: CONCOMITANT MEDICAL PRODUCTS, PART (LOT): -131212518(493730). -131212520(379480). -131212526(874550). -131212622(65993168). -851318500(66288566). THE CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION AS IT REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. 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.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT INITIAL OPERATION WAS PERFORMED WITH ALPS PLATE. THE FRACTURE SITE HEALED, AND THE PATIENT DESIRED REMOVAL OF THE PLATE. THEREFORE, THE REMOVAL SURGERY WAS PERFORMED APPROXIMATELY 15 MONTHS POST IMPLANTATION. DURING THE REMOVAL SURGERY, NONE OF THE SCREWS COULD BE EXPLANTED. AS A CONSEQUENCE, THE PROCEDURE WAS ABORTED AND THE SURGEON HAS DETERMINED THAT REMOVAL OF THE PRODUCT IS NOT FEASIBLE, AND NO FUTURE SURGERY IS PLANNED AT THE MOMENT. IT HAS NOT BEEN CONFIRMED WHETHER ANY FRAGMENTS REMAIN. IT WAS REPORTED THAT NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
79710 PEG FULLY THREAD 2.5MM X 18 PLATE, FIXATION, BONE HRS ZIMMER BIOMET, INC. 66123452 00887868452697

Patients

Seq Age Sex Outcome Treatment
1