FDA Adverse Event Injury Summary report: N

AVENIR CMPL HA VAR COL SIZE 3

MDR report key: 23942792 · Received January 2, 2026

Report

Report Number
0001822565-2026-00003
Event Type
Injury
Date Received
January 2, 2026
Date of Event
December 6, 2025
Report Date
March 10, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LZO
UDI-DI
00889024509283
PMA / PMN Number
K182048
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D11: ZIMMER 12/14 32MM +0MM COCR HEAD. ITEM NUMBER: 802203202. LOT NUMBER: 3213426. G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04) - STEM. 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.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D4; G1; G3; H1; H2; H3; H4; H6 NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. RADIOGRAPHS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: AP VIEW OF THE PELVIS SHOWS AN ACUTE PERIPROSTHETIC PERITROCHANTERIC FRACTURE. THERE IS A DISPLACED LESSER TROCHANTER FRACTURE FRAGMENT AND SUBSIDENCE OF THE FEMORAL STEM. THE DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. 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. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT FOLLOWING A PRIMARY TOTAL HIP REPLACEMENT, THE PATIENT REQUIRED STEM REVISION APPROXIMATELY 4 DAYS POST-IMPLANTATION DUE TO A LESSER TROCHANTER FRACTURE IDENTIFIED AFTER ONSET OF PAIN UPON STANDING. APPROXIMATELY 1 DAY POST-IMPLANTATION, THE PATIENT STOOD AND EXPERIENCED PAIN; IMAGING DEMONSTRATED A LESSER TROCHANTER FRACTURE, WITH NO FALL REPORTED. SUBSEQUENTLY, THE STEM WAS REVISED TO A REVISION TOTAL HIP REPLACEMENT. 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
2987 AVENIR CMPL HA VAR COL SIZE 3 PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER LZO ZIMMER BIOMET, INC. 3212203 00889024509283

Patients

Seq Age Sex Outcome Treatment
1 83 YR Unknown Required Intervention| H SEE H11