(b)(4).Additional concomitant medical products: vanguard dcm tibial bearing cat#: 183888, lot#: 205660; biomet offset tibial tray cat#: 141483, lot#: 482440; vanguard ssk femoral component cat#: 183304, lot#: 220670; biomet splined knee stem v2 cat#: 148321, lot#: 661140; biomet splined knee stem v2 cat#: 148308, lot#: 978960; vanguard series-a standard patella cat#: 184764, lot#: 986750; biomet offset tibial tray adaptor cat#: 141491, lot#: 221940; vanguard femoral distal augment cat#: 184204, lot#: 747090; vanguard femoral-rl/lm distal augment cat#: 184184, lot#: 046490; biomet modular tibial augmentation block cat#: 141763, lot#: 222670; biomet modular tibial augmentation block cat#: 141763, lot#: 222670.The product has not been returned to zimmer biomet for investigation, as product location is unknown.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.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.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2017 - 11375, 0001825034 - 2017 - 11376, 0001825034 - 2017 - 11377, 0001825034 - 2017 - 11378, 0001825034 - 2017 - 11379, 0001825034 - 2017 - 11380, 0001825034 - 2017 - 11381, 0001825034 - 2017 - 11382, 0001825034 - 2017 - 11383, 0001825034 - 2017 - 11384, 0001825034 - 2017 - 11385, 0001825034 - 2017 - 11386.Product location is unknown.
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