COMPREHENSIVE SHOULDER INSTRUMENTS MINI HUMERAL REAMER
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
(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.
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.
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.
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. |