(b)(4).Concomitant medical products: 010000662-g7 pps ltd acet shell 50d-6149828, 193108- echo b-mtrc mp fp ho 8-66931or, 650-1057-cer bioloxd option hd 36mm-2904536.Multiple mdr reports were filed for this event, please see associated reports: 0001825034-2020-01498, 0001825034-2020-01503.Customer has indicated that the product will not be returned to zimmer biomet for investigation, product remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
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This follow-up report is being submitted to relay additional information.Reported event was confirmed.Medical and radiographs were provided and reviewed by a health care professional.Review of the available records identified the following: follow up visit for left hip pain described as dull soreness and stiffness to the left hip that is worse after sitting in the same position for a long time, with heaviness.Previous treatment did help.Also states pain increases with activity.Assessment appears to be within normal limits as well as x-rays.Plan to rule out infection with blood testing.Two year follow up visit patient continues to have to have dull soreness and stiffness to left hip worse after sitting in same position for a long time but improved over last time.X-rays continue to show well positioned implants.No treatment ordered.One year later ongoing symptoms with left hip.Assessment continues to be within normal limits as well as imaging.Orders noted for l-spine mri evaluation for l3-l4 spinal stenosis.Review of the device history records identified deviations or anomalies during manufacturing, the deviations or anomalies would not have attributed to the event for items 010000856 and 010000662.A definitive root cause cannot be determined.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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