FDA Adverse Event Injury Summary report: N

UNK HUMERAL STEM

MDR report key: 24639878 · Received March 19, 2026

Report

Report Number
0001822565-2026-00852
Event Type
Injury
Date Received
March 19, 2026
Date of Event
February 25, 2026
Report Date
April 16, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
PHX
PMA / PMN Number
NI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4) VAUCLIN, CAMERON ET AL (2025). CLINICAL OUTCOMES OF MODULAR SEGMENTAL MEGAPROSTHESIS FOR REVISION SHOULDER ARTHROPLASTY WITH SEVERE PROXIMAL HUMERUS BONE LOSS AT A MINIMUM TWO-YEAR FOLLOW-UP. JSES INTERNATIONAL, VOLUME 10, ISSUE 1, 101381 HTTPS://DOI.ORG/10.1016/J.JSEINT.2025.09.003. 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.

Description of Event or Problem · 0

IT WAS REPORTED IN A JOURNAL ARTICLE THAT A PATIENT UNDERWENT A SHOULDER REVISION PROCEDURE APPROXIMATELY 8 MONTHS POST IMPLANTATION DUE TO LOOSENING OF THE HUMERAL STEM. ATTEMPTS HAVE BEEN MADE AND NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
61681 UNK HUMERAL STEM PROSTHESIS, SHOULDER PHX ZIMMER BIOMET, INC. NI NI

Patients

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