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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET SPINE INC. THORACIC PEDICLE PROBE

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ZIMMER BIOMET SPINE INC. THORACIC PEDICLE PROBE Back to Search Results
Catalog Number 14-500100
Device Problem Material Twisted/Bent (2981)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 01/08/2019
Event Type  malfunction  
Manufacturer Narrative
Without a product return, no product evaluation is able to be conducted.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.
 
Event Description
It was reported that the tip of a pedicle probe bent while preparing a screw hole during surgery.An alternative probe was used to complete the procedure without reported patient impacts.
 
Manufacturer Narrative
Additional information: method, results, and conclusions - the returned device was examined.The probe was bent and the complaint was confirmed.The device was damaged during preparing of the pedicle screw holes.Failures of this type are normally attributed to patient factors or off-axis use.The labeling was reviewed and found to be adequate.
 
Event Description
It was reported that the tip of a pedicle probe bent while preparing a screw hole during surgery.An alternative probe was used to complete the procedure without reported patient impacts.
 
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Brand Name
THORACIC PEDICLE PROBE
Type of Device
PROBE
Manufacturer (Section D)
ZIMMER BIOMET SPINE INC.
10225 westmoor dr.
westminster CO 80021
Manufacturer (Section G)
ZIMMER BIOMET SPINE INC.
10225 westmoor dr.
na
westminster CO 80021
Manufacturer Contact
ashley mcpherson
10225 westmoor dr.
na
westminster, CO 80021
3034437500
MDR Report Key8318768
MDR Text Key135509747
Report Number3012447612-2019-00047
Device Sequence Number1
Product Code HXB
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,health profession
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 06/05/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/07/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number14-500100
Device Lot Number1269
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/18/2019
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received05/31/2019
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
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