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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ZIPTIGHT ANKLE SYN FIXATION-TI; FASTNER, FIXATION

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ZIMMER BIOMET, INC. ZIPTIGHT ANKLE SYN FIXATION-TI; FASTNER, FIXATION Back to Search Results
Catalog Number 904759
Device Problem Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/03/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: foreign: (b)(6).Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up report will be submitted.
 
Event Description
It was reported that there was debris found in the packaging.This issue was discovered during incoming inspection.There was no patient involvement.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d4, d10, g3, g7, h1, h2, h3, h6, h10 visual evaluation of the returned product identified that there is debris inside the sterile package.The complaint has been confirmed by visual evaluation.Review of the device history records identified no related deviations or anomalies during manufacturing.The product was likely non-conforming when it left zimmer biomet control.The root cause of the reported event can be attributed to the operator not following instructions during manufacturing.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.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
ZIPTIGHT ANKLE SYN FIXATION-TI
Type of Device
FASTNER, FIXATION
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key12370556
MDR Text Key268240231
Report Number0001825034-2021-02511
Device Sequence Number1
Product Code JDR
Combination Product (y/n)N
PMA/PMN Number
K083070
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 10/04/2021
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
Device Operator Health Professional
Device Catalogue Number904759
Device Lot Number221270
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/02/2021
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 08/03/2021
Initial Date FDA Received08/26/2021
Supplement Dates Manufacturer Received10/04/2021
Supplement Dates FDA Received10/04/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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