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(b)(4) d10: 42532007902 - psn tib stm 5 deg sz g r - (b)(6), 42522100912 - psn mc ve asf r 12mm - (b)(6), 43557003014 - canary tibial ext 14x30mm - (b)(6), 42540000035 - psn all poly pat 35mm - (b)(6), 110035368 - zb biomet bone cement - (b)(6).H6: mechanical (g04) - femur.Customer has indicated that the product will not be returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
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It was reported that approximately two weeks post right total knee arthroplasty, the patient developed mild erythema around the incision without drainage.The patient was treated with a course of antibiotics as a precaution.The erythema subsequently resolved, and the patient reported satisfactory recovery.Attempts have been made and all available information has been provided.
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This follow-up report is being submitted to relay additional information.The following sections were updated: b4; b5; d2; g1; g3; g6; h1; h2; h3; h6, 10.The event cannot be confirmed.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.Review of the reported event by a health care professional found: it is expected that a wound heals in stages and should be of normal appearance related to the timeframe since the incision was made.A surgical wound should be well approximated without redness, warmth, swelling and/or purulent drainage for the duration of its healing.The expression "wound concerns" or "non-healing wound" would imply that the appearance of the wound deviates from what a surgical wound should appear.It may be red, have drainage, additional pain, warmth and swelling as well as healing time may be delayed.This deviation signifies an alteration in the wound healing process which can be complicated by patient comorbidities such as diabetes, obesity, smoking, and other conditions that are known to slow a person's ability to heal.Wound complications can be treated conservatively or invasively depending on the severity of the wound infection and patient status.The reported event of superficial infection occurred <30 days post implantation.Superficial infections are considered a procedure related complication as no device has been reported as revised.There are multiple factors that may contribute to an infection that are outside the control of zimmer biomet, such as external factors, i.E.Hospital/surgical environment, provider-related risk factors, and/or patient comorbidities/risk factors.During the investigation process a review of the sterile certifications were reviewed and found to be conforming with no applicable deviations, further eliminating the implanted devices as a potential source for the reported infection.Devices were verified to have gone through acceptable sterilization process following iso/aami/astm & eu published guidelines.As devices have not been indicated as revised and there are no indications of product or process issues identified affecting implant safety or effectiveness, therefore implanted products are not identified as the source or contributing to the reported infection.Root cause of the reported event is determined to be not device related.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.
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