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(b)(4).D10- medical product: zuk prc tray sz3 rmed/llat, item# 00584200302, lot# 62925355.Zuk prc fem szd rmed/llat, item# 00584201402, lot# 62867435.G2- australia.H3- customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
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This report is being submitted to provide additional information.Updated: b4, b5, d2b, g1, g3, g6, h1, h2, h3, h6, h10, and h11.Visual examination of the provided pictures identified explanted tibial tray, femur and articular surface.The articular surface shows excessive wear, particularly on the edges.The devices show signs of use such as scuffs and scratches.X-rays were provided and reviewed by mmi state that a right knee medial compartment arthroplasty was identified.Varus alignment of the knee joint and narrow medial joint space consistent with wear or other compromise of the polyethylene bearing.Radiolucency medial femoral condyle is likely due to stress shield versus less likely osteolysis.Suprapatellar pouch radio dense synovial lining (metal-line sign) which is consistent with metallosis.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.This complaint is confirmed.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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