(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation as the product remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Concomitant medical products: part # 30103204/ liner/ lot # 64922381; part # 192010/ stem/ lot # 835490; part # 00625006530/ bone screw/ lot # j6853661; part # 12-115114/ biolox head/ lot # 2983185.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 -2021 -00787, 0001825034 -2021 -00788, 0001825034 -2021 -00789.
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Medical records were reviewed by hcp: this patient was reintubated postop due to suspicion of seizure activity due to confusion and change in orientation from preop levels.Seizure activity was ruled out, and the patient was extubated postop day three but remained confused and disoriented.Procedural related complications are influenced by the type of surgery, patients pre-existing comorbid state, and perioperative management.Facilities have discharge criteria that patients must meet post surgical procedure.If the discharge criteria are not met, then the patient will be kept until they are stable for discharge, and for their safety.The delayed/prolonged hospitalization is not abnormal, as side effects from anesthesia are common and typically resolve within 24-48 hours.The prolonged altered mental status after extubation is also likely the result of medications used for continuous sedation while intubated for patient safety.The root cause of the reported event was determined to be unrelated to the implanted zimmer biomet if any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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