inforMED
InjuryKWI

EXPLOR 12X24 MM IMPLANT HEAD

Received Mar 17, 2025 · Event occurred Feb 19, 2025

Report 0001825034-2025-00741 · MDR key 21625567

Device

Generic name

Prosthesis, Elbow, Hemi-, Radial, Polymer

Catalog number

11-210042

Lot number

895100

Product problems

  • Fracture
  • Fracture

Patient

67 YR · Female

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WAS IMPLANTED WITH A PROSTHESIS. SUBSEQUENTLY, THE PATIENT SUFFERED A FRACTURE AND THE IMPLANT BECAME LOOSE. THERE WAS HARM TO THE PATIENT AS THE PATIENT HAD TO UNDERGO ADDITIONAL SURGICAL/MEDICAL PROCEDURE. DUE DILIGENCE IS COMPLETE. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

THIS EVENT IS RECORDED BY ZIMMER BIOMET UNDER (B)(4). G2, COUNTRY EVENT OCCURRED IN: POLAND. COMPONENT CODES: PROPOSED G-CODE: MECHANICAL (G04) - STEM. D10 NARRATIVE: ITEM: 11-210062, LOT: 66363849, ITEM NAME: EXPLOR 7X26MM IMPL STEM W/SCR. COMPONENT CODES: PROPOSED G-CODE: MECHANICAL (G04) - HEAD. THE PRODUCT IS IN THE PROCESS OF BEING EVALUATED BY ZIMMER BIOMET. ONCE THE PRODUCT INVESTIGATION HAS BEEN COMPLETED, A FOLLOW UP/FINAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

THIS EVENT IS RECORDED BY ZIMMER BIOMET UNDER (B)(4). THE FOLLOWING SECTIONS HAVE BEEN UPDATED: B4, B5, G1, G3, G6, H2, H11. THE FOLLOWING SECTIONS HAVE BEEN CORRECTED: H6, H11. G2, COUNTRY EVENT OCCURRED IN: POLAND. COMPONENT CODES: PROPOSED G-CODE: MECHANICAL (G04) - HEAD. D10 NARRATIVE: ITEM: 11-210062, LOT: 66363849, ITEM NAME: EXPLOR 7X26MM IMPL STEM W/SCR. THE PRODUCT IS IN THE PROCESS OF BEING EVALUATED BY ZIMMER BIOMET. ONCE THE PRODUCT INVESTIGATION HAS BEEN COMPLETED, A FOLLOW UP/FINAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

NO ADDITIONAL INFORMATION IS AVAILABLE REGARDING THE INCIDENT.

Description of Event or Problem

UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED TO BE NOT REPORTABLE. THE INITIAL REPORT WAS FORWARDED IN ERROR AND SHOULD BE VOIDED.

Additional Manufacturer Narrative

UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED TO BE NOT REPORTABLE. THE INITIAL REPORT WAS FORWARDED IN ERROR AND SHOULD BE VOIDED.