FDA Adverse Event Injury Summary report: N

G7 VIVACIT E

MDR report key: 25220178 · Received May 19, 2026

Report

Report Number
0001822565-2026-01634
Event Type
Injury
Date Received
May 19, 2026
Date of Event
April 22, 2026
Report Date
May 19, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LPH
UDI-DI
00889024519893
PMA / PMN Number
K190660
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4) D10: CAT# 00-8775-036-03 LOT# 3254007 BIOLOX DELTA HD 12/14 36X+3.5 CAT# 110010243 LOT# 67442615 G7 OSSEOTI 3 HOLE SHELL 50MM D G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. 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 THAT THE PATIENT UNDERWENT A REVISION APPROXIMATELY SIX WEEKS POST-IMPLANTATION DUE TO INFECTION. ALL FEMORAL AND ACETABULAR COMPONENTS WERE REVISED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
439127 G7 VIVACIT E PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED LPH ZIMMER BIOMET, INC. 67488973 00889024519893

Patients

Seq Age Sex Outcome Treatment
1