COMPR SRS TUMOR BDY - 71MM
Report
- Report Number
- 0001825034-2026-01460
- Event Type
- Injury
- Date Received
- May 22, 2026
- Date of Event
- June 25, 2025
- Report Date
- May 22, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWT
- UDI-DI
- 00880304540828
- PMA / PMN Number
- K223631
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT. ASSOCIATED REPORTS ARE AVAILABLE FOR THE APPLICABLE CONCOMITANT PRODUCTS IN THE D10 NARRATIVE BELOW. D10: CONCOMITANT MEDICAL PRODUCTS, PART (LOT): 110029826 (656680); 211224 (66626556); 211229 (726590); 211256 (103210). ASSOCIATED PRODUCT INFORMATION: UNKNOWN CEMENT (UNKNOWN). G2: FOREIGN - EVENT OCCURRED IN DENMARK. 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.
IT WAS REPORTED THAT AN INITIAL LEFT TOTAL HUMERAL ARTHROPLASTY WAS PERFORMED. THE PATIENT SUBSEQUENTLY DEVELOPED A WOUND-HEALING COMPLICATION. APPROXIMATELY TWO AND A HALF MONTHS AFTER THE INDEX PROCEDURE, DEBRIDEMENT OF SOFT TISSUE AND ANTIBIOTIC THERAPY WERE PERFORMED. ALL IMPLANTS REMAINED IMPLANTED. AT ONE-YEAR FOLLOW-UP, THE PATIENT REPORTED BEING SATISFIED. DUE DILIGENCE IS COMPLETE FOR THIS COMPLAINT; IT WAS REPORTED THAT NO FURTHER INFORMATION IS AVAILABLE, AND TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 13856 | COMPR SRS TUMOR BDY - 71MM | PROSTHESIS, SHOULDER, NON-CONSTRAINED, METAL/POLYMER CEMENTED | KWT | ZIMMER BIOMET, INC. | 66287804 | 00880304540828 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |