FDA Adverse Event Injury Summary report: N

MD HYBRID GLENOID BASE 4MM

MDR report key: 24628297 · Received March 18, 2026

Report

Report Number
0001825034-2026-00558
Event Type
Injury
Date Received
March 18, 2026
Date of Event
February 19, 2026
Report Date
March 11, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
MBF
UDI-DI
00880304462489
PMA / PMN Number
K193038
Removal / Correction Number
NI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: ITEM# 113053; LOT# 798910. ITEM# 113631; LOT# 647540. ITEM# 118001; LOT# 959640. ITEM# PT-113950; LOT# 280950. G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT WAS REQUESTED BUT NOT RETURNED BY THE HOSPITAL. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT A SHOULDER REVISION APPROXIMATELY SIX (6) YEARS POST-IMPLANTATION DUE TO LOOSENING OF THE GLENOID COMPONENT. IT WAS NOTED THAT THE PATIENT ALSO HAD POLY WEAR OF THE GLENOID COMPONENT AND OSTEOLYSIS. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
691055 MD HYBRID GLENOID BASE 4MM PROSTHESIS, SHOULDER, SEMI-CONSTRAINED MBF ZIMMER BIOMET, INC. NI 711170 00880304462489

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H SEE NARRATIVE IN H11.