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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. ORTHOSORB LS 1.3MM 1 PIN KIT; ABSORBABLE, FIXATION

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ZIMMER BIOMET, INC. ORTHOSORB LS 1.3MM 1 PIN KIT; ABSORBABLE, FIXATION Back to Search Results
Model Number N/A
Device Problems Migration or Expulsion of Device (1395); Migration (4003)
Patient Problems Wound Dehiscence (1154); Pain (1994); Ulcer (2274)
Event Date 03/29/2021
Event Type  Injury  
Manufacturer Narrative
(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation.The product location is unknown.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
It was reported that a month post op with the orthosorb pin coming through the skin.Attempts have been made and no further information has been provided.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
(b)(4).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.
 
Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.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.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.Reported event was confirmed by review of provided photographs and medical records.Device history record (dhr) review was unable to be performed as the lot number of the device involved in the event is unknown root cause was unable to be determined.Medical identified no contributing factors of the event.Pain was noted in the left toe with absorbable pin protruding out of wound; the pin was removed, cultures taken, and dressing applied.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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Brand Name
ORTHOSORB LS 1.3MM 1 PIN KIT
Type of Device
ABSORBABLE, FIXATION
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key11876760
MDR Text Key252629878
Report Number0001825034-2021-01525
Device Sequence Number1
Product Code OVZ
Combination Product (y/n)N
PMA/PMN Number
K140625
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,health profession
Type of Report Initial,Followup,Followup,Followup
Report Date 07/21/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/25/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number110010741
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received07/20/2021
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
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