FDA Adverse Event Injury Summary report: N

COMPREHENSIVE SHOULDER INSTRUMENTS MINI HUMERAL REAMER

MDR report key: 23838449 · Received December 18, 2025

Report

Report Number
0001825034-2025-04050
Event Type
Injury
Date Received
December 18, 2025
Date of Event
July 9, 2025
Report Date
January 16, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
MBF
PMA / PMN Number
K193038
Removal / Correction Number
NI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4): D10: ITEM# 113626; LOT# 710590. ITEM# 41-406805; LOT# UNKNOWN. G2: FOREIGN - EVENT OCCURRED IN THE NETHERLANDS. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. IF ANY FURTHER INFORMATION 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: B4; B5; D2; G1; G3; G6; H1; H2; H3; H6; H10. THE BROACH WAS NOT RETURNED TO COMPLETE VISUAL EXAMINATION. MEDICAL RECORDS WERE NOT PROVIDED. LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS; LOT IDENTIFICATION WAS NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE EVENT WAS UNABLE TO BE CONFIRMED. IF ANY FURTHER INFORMATION 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

IT WAS REPORTED THAT DURING AN INITIAL SHOULDER ARTHROPLASTY, THE PLACEMENT OF THE STEM WAS UNSUCCESSFUL. IT WAS NOTED THAT IT WAS NOT POSSIBLE TO INSERT THE STEM DEEPLY ENOUGH INTO THE HUMERAL SHAFT. SUBSEQUENTLY, REPEATED REAMING ALSO YIELDED NO IMPROVEMENT. DUE TO EXCESSIVE TENSION, AVULSION OF THE CONJOINED ROTATOR CUFF TENDON OCCURRED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 0

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2244461 COMPREHENSIVE SHOULDER INSTRUMENTS MINI HUMERAL REAMER PROSTHESIS, SHOULDER, SEMI-CONSTRAINED MBF ZIMMER BIOMET, INC. NI UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other SEE NARRATIVE IN H11.