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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. CRUCIATE RETAINING AUGMENTABLE (CRA) CASE ASSEMBLY; INSTRUMENT, KNEE

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ZIMMER BIOMET, INC. CRUCIATE RETAINING AUGMENTABLE (CRA) CASE ASSEMBLY; INSTRUMENT, KNEE Back to Search Results
Model Number N/A
Device Problems Fracture (1260); Material Twisted/Bent (2981)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/31/2023
Event Type  Injury  
Event Description
It was reported that the sterilization tray has cracked or broken legs and several of them are bent with sharp edges causing damage to the sterile drapes.This is a loaner device not a new device.There was a 30 minute delay.This issue was discovered at the start of an initial surgery and as a result of this issue, the operation was suspended and the anesthetized patient had to be woken up.The patient was only anesthetized and was not cut into.Attempts have been made and all available information has been provided.
 
Manufacturer Narrative
(b)(4).G2 : foreign country : poland.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 mdr will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001822565-2023-03135, 0001822565-2023-03136, 0001822565-2023-03236, 0001822565-2023-03238, 0001822565-2023-03239.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Upon reassessment of the reported event, it was determined to be not reportable as no serious injury has occurred.The initial report was forwarded in error and should be voided.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.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
CRUCIATE RETAINING AUGMENTABLE (CRA) CASE ASSEMBLY
Type of Device
INSTRUMENT, KNEE
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 Key18152248
MDR Text Key328315203
Report Number0001822565-2023-03237
Device Sequence Number1
Product Code FSM
Combination Product (y/n)N
Reporter Country CodePL
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 03/18/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/16/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number00590007011
Device Lot Number56673193
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received03/14/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
Patient SexPrefer Not To Disclose
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