ANN AR NAIL 7.5X280MM
Report
- Report Number
- 0009613350-2026-00097
- Event Type
- Injury
- Date Received
- February 25, 2026
- Date of Event
- September 5, 2025
- Report Date
- March 10, 2026
- Manufacturer
- ZIMMER GMBH
- Product Code
- HSB
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D10: CONCOMITANT MEDICAL PRODUCTS: DESC: ANN BLUNT TIP SCREW 4X40MM; ITEM: 47-2486-040-40; LOT: UNK. DESC: ANN BLUNT TIP SCREW 4X44MM; ITEM: 47-2486-044-40; LOT: UNK. DESC: ANN BLUNT TIP SCREW 4X50MM; ITEM: 47-2486-050-40; LOT: UNK. DESC: ANN CORT BONE SCREW 4 X 26MM; ITEM: 47-2486-126-40; LOT: UNK. DESC: ANN CORT BONE SCREW 4 X 26MM; ITEM: 47-2486-126-40 LOT: UNK. DESC: ANN BLUNT TIP SCREW 4X44MM; ITEM: 47-2486-044-40; LOT: UNK. 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.
(B)(4). THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND/OR CORRECTED INFORMATION. THE FOLLOWING SECTIONS WERE CORRECTED: E1, E3. THE FOLLOWING SECTIONS WERE UPDATED: B4, B5, G3, G6, H2, H10, H11. D10: CONCOMITANT MEDICAL PRODUCTS: DESC: ANN BLUNT TIP SCREW 4X40MM; ITEM: 47-2486-040-40; LOT: 3064863. DESC: ANN BLUNT TIP SCREW 4X44MM; ITEM: 47-2486-044-40; LOT: 3064865. DESC: ANN BLUNT TIP SCREW 4X50MM; ITEM: 47-2486-050-40; LOT: 3226074. DESC: ANN CORT BONE SCREW 4 X 26MM; ITEM: 47-2486-126-40; LOT: 3227128. DESC: ANN CORT BONE SCREW 4 X 26MM; ITEM: 47-2486-126-40 LOT: 3227128. DESC: ANN BLUNT TIP SCREW 4X44MM; ITEM: 47-2486-044-40; LOT: 3064865. INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
IT WAS REPORTED THE PATIENT UNDERWENT LYSIS OF ADHESIONS APPROXIMATELY THREE MONTHS POST-IMPLANTATION DUE TO PAIN AND DECREASED RANGE OF MOTION. THE PATIENT INITIALLY UNDERWENT A RIGHT OPEN REDUCTION INTERNAL FIXATION OF THE TUBEROSITY. SUBSEQUENTLY, LYSIS OF ADHESIONS WAS PERFORMED DUE TO PERSISTENT PAIN AND LIMITED RANGE OF MOTION; ALL COMPONENTS REMAINED IMPLANTED. ALL COMPONENTS REMAINED IMPLANTED. 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 |
|---|---|---|---|---|---|---|---|
| 567876 | ANN AR NAIL 7.5X280MM | HUMERUS INTRAMEDULLARY NAIL | HSB | ZIMMER GMBH | 1718799 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |