FDA Adverse Event Injury Summary report: N

G7 SCREW 6.5MM X 30MM

MDR report key: 25230280 · Received May 20, 2026

Report

Report Number
0001825034-2026-01355
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
PBI
PMA / PMN Number
K121874
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

Additional Manufacturer Narrative · 0

(B)(4) H10: ARCOS 15X150MM SPL TPR DIST ITEM: 11-300815 LOT: 65750703. ARCOS CON SZ C STD 60MM ITEM: 11-301303 LOT: 65710916. G7 OSSEOTI MULTIHOLE 58MM G ITEM: 110010267 LOT: 7196540. G7 HI-WALL E1 LINER 36MM G ITEM: 010000937 LOT: 7210981. 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.

Description of Event or Problem · 0

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
108355 G7 SCREW 6.5MM X 30MM PROSTHESIS, HIP PBI ZIMMER BIOMET, INC. 7389732

Patients

Seq Age Sex Outcome Treatment
1