(b)(4).D10 associated medical devices: oxf uni tib tray sz c rm pma; item# 154723; lot# 3819016 oxford uni twin-peg femoral md; item# 166942; lot# j3670783 g2 - foreign: japan 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.
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(b)(4).This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, g3, g6, h2, h3, h6, h11.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.A review of the device manufacturing records confirmed no abnormalities or deviations that could be related to the reported event.Radiographs were provided and reviewed by a radiologist.The review identified : a medial unicompartmental arthroplasty has been performed.There is no evidence of implant loosening.The radiopaque markers of the bearing are noted superolaterally consistent with dislocation of the bearing, likely into the lateral suprapatellar recess.There is narrowing of the medial implant tibiofemoral space and early lateral compartment arthrosis.Implant fit and alignment are overall maintained despite the bearing dislocation.Bone quality is osteopenic.The bearing dislocation is confirmed on the radiograph, but a bearing fracture cannot be confirmed on this image.Other than the bearing dislocation, no abnormality is identified.With the available information, a definitive root cause could not be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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