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(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the device remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.D10: additional associated products.42504605802, persona rev fem cmt ccr std sz 5r lot# 64888669.42560007514, persona rev str smth stem 14x75 lot# 64835182.42556605810, persona fem distal aug sz5 10mm lot# 64859429.42556605810, persona fem distal aug sz5 10mm lot# 64817459.42542006402, persona rev tib fix np sz c r lot# 64827455.42522600420, persona asf cps 20mm ve r 3-5 cd lot# 64820591.42560007514, persona rev str smth stem 14x75 lot# 64911499.
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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, g3, g6, h1, h2, h3, h6, h10, h11.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.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 provided and reviewed by a health care professional.Review of the available records identified the following: visit 1; follow-up: moderate-occasional pain, xr- no significant findings, rom 2-110, healing well.Visit 2; follow-up: moderate pain, extreme pain standing upright, severe pain bending to floor, xr- no significant findings, the symptoms began gradually over time.Symptoms began 1 year ago.Pain is moderate with a rating of 8/10.Pain sharp, throbbing, aching and burning.The symptoms are constant.Since the onset, she reports the problem is getting worse.The symptoms are made worse with bending, walking and standing.The patient experiences swelling, numbness, stiffness, limping, clicking and tingling.Prior testing: no diagnostic tests have been performed.Pain is intermittent.After she has been walking for long time.She has some swelling.She has outstanding range of motion however.She feels very stable.(some swelling post- activity is not an abnormal finding and within the note is not calling it out as a complication).Visit 2; follow-up: mild pain, moderate pain straightening knee, going up/downstairs, and standing upright, exam: no swelling, ecchymosis or deformity, rom 0-125, stable varus/valgus, gait normal, xr: implant in good position and alignment with no gross evidence of failure or loosening.Visit 3; follow-up: mild-occasional pain, xr: implants in good position and alignment without evidence of failure, loosening, or fracture, exam wnl, rom 0-125.The event is confirmed.A definitive root cause cannot be determined.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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