PEG FULLY THREAD 2.5MM X 22
Report
- Report Number
- 0001825034-2025-03997
- 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
- 00887868452710
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- 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/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.
(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), 131212618(66123452), 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.
NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.
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 |
|---|---|---|---|---|---|---|---|
| 2444698 | PEG FULLY THREAD 2.5MM X 22 | PLATE, FIXATION, BONE | HRS | ZIMMER BIOMET, INC. | 65993168 | 00887868452710 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other | SEE H11 |