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 |