ARCOS CON SZ C STD 60MM
Report
- Report Number
- 0001825034-2026-01352
- Event Type
- Injury
- Date Received
- May 20, 2026
- Date of Event
- April 30, 2026
- Report Date
- May 20, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWA
- UDI-DI
- 00880304474130
- PMA / PMN Number
- K090757
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). H10: ARCOS 15X150MM SPL TPR DIST. ITEM: 11-300815. LOT: 65750703. G7 OSSEOTI MULTIHOLE 58MM G. ITEM: 110010267. LOT: 7196540. G7 HI-WALL E1 LINER 36MM G. ITEM: 010000937. LOT: 7210981. G7 SCREW 6.5MM X 30MM. ITEM: 010000999. LOT: 7389732. DELTA CERAMIC FEM HD 36/-3MM. ITEM: 650-0660. LOT: 3095592. G2: FOREIGN: AUSTRALIA . THE PRODUCT WAS REQUESTED BUT WAS NOT RETURNED BY THE HOSPITAL AND WILL THEREFORE NOT BE SENT TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A HIP REVISION APPROXIMATELY THREE YEARS POST-IMPLANTATION DUE TO PAIN AND RADIOLUCENCY OF COMPONENT. IT WAS CONFIRMED THAT NO FURTHER INFORMATION COULD BE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 301255 | ARCOS CON SZ C STD 60MM | PROSTHESIS, HIP | KWA | ZIMMER BIOMET, INC. | 65710916 | 00880304474130 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |