MD HYBRID GLENOID BASE 4MM
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
(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.
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. |