G7 OSSEOTI
Report
- Report Number
- 0001825034-2025-04248
- Event Type
- Injury
- Date Received
- December 31, 2025
- Date of Event
- December 5, 2025
- Report Date
- March 25, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- UDI-DI
- 00887868356025
- PMA / PMN Number
- K140669
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D10: CAT# 110024463 LOT# 67337776 G7 DUAL MOBILITY LINER 42MM E CAT# 110031011 LOT# 67121610 VIVACIT-E DM BEARING 28X42MM CAT# 65020073 LOT# 163660 BIOMET MODULAR HEAD -6MM TYPE 1 TAPER 28M CAT# 51-116110 LOT# 7872145 TPRLC 133 MP TYPE1 BM SO 11.0 G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. 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.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, B5, D10, G3, G6, H2, H3, H4, H6, H11. D10: CAT#: 110024463; LOT#: 67337776; G7 DUAL MOBILITY LINER 42MM E. CAT#: 110031011; LOT#: 67121610; VIVACIT-E DM BEARING 28X42MM. CAT#: 65020073; LOT#: 163660; BIOMET MODULAR HEAD -6MM TYPE 1 TAPER 28M. CAT#: 51-116110; LOT#: 7872145; TPRLC 133 MP TYPE1 BM SO 11.0. UNKNOWN SCREWS (X3). VISUAL EXAMINATION OF THE PROVIDED PICTURES IDENTIFIED THE ACETABULAR COMPONENTS (SHELL, LINER, BEARING, SCREWS AND HEAD) AND STEM HAVE BEEN REVISED AND ARE COVERED IN BIODEBRIS. NO OTHER SIGNIFICANT FINDINGS NOTED ON THE SHELL OR SCREWS FROM THE IMAGE PROVIDED RELATED TO THE REPORTED ISSUES. NO FURTHER OBSERVATIONS CAN BE MADE BASED ON THE IMAGE ALONE. NO PRODUCT WAS RETURNED; FURTHER VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORD IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. 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.
IT WAS REPORTED THAT APPROXIMATELY THREE MONTHS POST-IMPLANTATION, THE PATIENT UNDERWENT A HIP REVISION DUE TO THE CUP DISSOCIATING FROM THE ACETABULAR WALL. THE CUP WAS NOT SEATED. ALL COMPONENTS WERE REVISED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
NO ADDITIONAL EVENT INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2564001 | G7 OSSEOTI | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 66440602 | 00887868356025 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H |