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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. AVENIR CMPL BROACH SIZE 4; Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

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ZIMMER BIOMET, INC. AVENIR CMPL BROACH SIZE 4; Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented Back to Search Results
Catalog Number 574999040
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/13/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).G2: foreign ¿ spain.H6: proposed component code: mechanical (g04)- rasp.Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a supplemental mdr will be submitted.
 
Event or Problem Description
It was reported that the pivot of the rasp of the avenir complete stem bork while properly striking the rasp handle to extract the rasp from the femoral canal, leaving the rasp inside the patient until it could be removed using appropriate instruments.It was noted that a delay occurred, and no foreign body was retained in the patient.The case was competed successfully with no other reported impact.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
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Brand Name
AVENIR CMPL BROACH SIZE 4
Common Device Name
Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, 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 Key24952768
Report Number0001822565-2026-01354
Device Sequence Number12078536
Product Code LZO
UDI-Device Identifier00889024510142
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K182048
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/22/2026
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 Number574999040
Device Lot Number65470258
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer05/04/2026
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/14/2026
Supplement Date Received by Manufacturer09/22/2026
Initial Report FDA Received Date04/22/2026
Supplement Report FDA Received Date09/28/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/13/2022
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
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
N/A
Patient Sequence Number1
Patient SexUnknown
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