(b)(4).Concomitant medical products: comprehensive humeral tray 44 mm x 5 mm, [115375; lot 070520]; versa-dial glenosphere standard 36 mm, [115310; lot 247930]; central screw 6.5 mm 3.5 hex 30 mm length, [115396; lot 492050]; fixed locking screw 4.75 mm 3.5 hex 30 mm length, [180553; lot 642760]; fixed locking screw 4.75 mm 3.5 hex 35 mm length, [180554; lot 135720]; comprehensive mini baseplate and taper adaptor 25 mm, [010000589; lot 082010]; fixed locking screw, [180550; lot 808750]; fixed locking screw, [180550; lot 084440].Customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2018 - 05106, 0001825034 - 2018 - 05163, 0001825034 - 2018 - 05164.
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(b)(4).Concomitant medical products- fixed locking screw [180550; lot 084440] qty: 2, comp primary stem 8mm mini [part #113628 lot # 095780 ].Reported event was confirmed by review of operative notes and x-rays provided.The humeral component had subsided and rotated 180 degrees per x-rays.Dhr was reviewed and no discrepancies were found.Root cause was unable to be determined however, it is noted that the patient was a tobacco user, had poor nutrition and health issues, was noncompliant and had multiple falls on her left shoulder which may have contributed to the reported events.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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