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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ALLIANCE GLENOID MODULAR CENTER POST REAMER; PROSTHESIS, SHOULDER, SEMI-CONSTRAINED, METAL/POLYMER, UNCEMENTED

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ZIMMER BIOMET, INC. ALLIANCE GLENOID MODULAR CENTER POST REAMER; PROSTHESIS, SHOULDER, SEMI-CONSTRAINED, METAL/POLYMER, UNCEMENTED Back to Search Results
Catalog Number SBGL3007
Medical Device Problem Codes Fracture (1260); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/28/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).H6: proposed code: mechanical (g04), drill.The product has been received by zimmer biomet and the investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.If any further information is found that would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event or Problem Description
It was reported that a guide pin became stuck in a post reamer, resulting in a split at the tip of the reamer.There was no patient involvement.Attempts have been made and no further information has been provided.
 
Event or Problem Description
It was reported that a guide pin became stuck in a post reamer, resulting in a split at the tip of the reamer.It was additionally reported that the surgery was completed with a backup reamer.It was reported that no additional information is available.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4; b5; d2; e1; g1; g3; g6; h1; h2.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Additional Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.The following sections were updated/corrected: b4; b5; d2; g1; g3; g6; h1; h2; h3; h6.The reported is confirmed through returned product analysis.Visual examination of the returned product identified signs of use as well as wear and tear.There are rotational scratches down the length of the shaft of the reamer.There is also scratching on the flange of the stepped cutting head.The tip of the reamer head has also cracked in multiple places as shown in the photos the device has a possible field age of 1+ years.Verified etches and all product identifiers to confirm the reamer is conforming to print specifications.Review of the device history record(s) identified no deviations or anomalies during manufacturing.Medical records were not provided.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event or Problem Description
No further event information is available at the time of this report.
 
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Brand Name
ALLIANCE GLENOID MODULAR CENTER POST REAMER
Common Device Name
PROSTHESIS, SHOULDER, SEMI-CONSTRAINED, METAL/POLYMER, UNCEMENTED
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key23872149
Report Number0001822565-2025-04731
Device Sequence Number4451168
Product Code KWS
UDI-Device Identifier00889024574779
UDI-Public(01)00889024574779(11)240825(10)66809153
Combination Product (Y/N)N
Initial Reporter StateNH
Initial Reporter CountryUS
PMA/510(K) Number
K191814
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 04/09/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberSBGL3007
Device Lot Number66809153
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/08/2025
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/28/2025
Supplement Date Received by Manufacturer02/25/2026
04/01/2026
Initial Report FDA Received Date12/22/2025
Supplement Report FDA Received Date03/03/2026
04/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/25/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient Age66 YR
Patient SexFemale
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