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This follow-up report is being submitted to relay additional information.The following sections were updated/corrected updated: b4, b5, d5, d9, g3, g6, h1, h2, h3, h4, h6, h11.Visual examination of the returned product identified signs of use in the form of gouges and inserter marks.The locking feature (dovetail) is found to be compressed.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.The reported products were reviewed for compatibility with no issues noted.Medical records were not provided.Damage to the articular surface can occur if the articular surface is not correctly placed and oriented before pushing it using the inserter instrument.Detailed instructions for inserting the articular surface are provided in the surgical technique.Complaint is confirmed with the returned product.The root cause is attributed to use error.No corrective actions, preventive actions, or field actions resulted after investigation of this event.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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