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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. JUGGERSTITCH CURVED IMPLANT; SOFT-TISSUE/MESH ANCHOR, NON-BIOABSORBABLE

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ZIMMER BIOMET, INC. JUGGERSTITCH CURVED IMPLANT; SOFT-TISSUE/MESH ANCHOR, NON-BIOABSORBABLE Back to Search Results
Catalog Number 110024773
Device Problem Difficult or Delayed Activation (2577)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/22/2024
Event Type  malfunction  
Event Description
It was reported that the anchor of the device was unable to be deployed as intended.An alternative device was used to complete the procedure.Additional information on the reported event is unavailable at this time.
 
Manufacturer Narrative
(b)(4).G2: japan.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.
 
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Brand Name
JUGGERSTITCH CURVED IMPLANT
Type of Device
SOFT-TISSUE/MESH ANCHOR, NON-BIOABSORBABLE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key18885553
MDR Text Key337431089
Report Number0001825034-2024-00691
Device Sequence Number1
Product Code MBI
UDI-Device Identifier00880304690073
UDI-Public(01)00880304690073(17)280714(10)66111189
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K191459
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
Report Date 03/11/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/12/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number110024773
Device Lot Number66111189
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received02/26/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/14/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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