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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. CORTICAL SCREW 3.5 X 12MM; PLATE, FIXATION, BONE

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ZIMMER BIOMET, INC. CORTICAL SCREW 3.5 X 12MM; PLATE, FIXATION, BONE Back to Search Results
Model Number N/A
Device Problems Unsealed Device Packaging (1444); Device Packaging Compromised (2916)
Patient Problem No Patient Involvement (2645)
Event Type  malfunction  
Manufacturer Narrative
The device packaging was not returned however, pictures of complaint device were provided.The analysis of the pictures shows that the sealing side, where the issue occurred, was performed by the supplier of the bag.Analysis of the pictures did not conclude if the seal was not done in this area or if the seal has been achieved and is peeled in this area.The device was packaged by biomet (b)(4) according to pre-defined specifications.According to the data made available, the exact root cause of the event can not be determined.The issue is single.Dhr and complaint history review was performed and no anomalies or trends were found.A summary of the investigation has been sent to the complainant.Risk is addressed in (b)(4) "packaging: non-sterile package and box and label", per section 1.2.2, "non-conformity: packaging material (per qa inspection criteria)".(b)(4).Product location unknown.
 
Event Description
It was reported that the packaging was opened and the screw was found in the bottom of the box.No further information has been provided.
 
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Brand Name
CORTICAL SCREW 3.5 X 12MM
Type of Device
PLATE, FIXATION, BONE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key6928152
MDR Text Key89507639
Report Number0001825034-2017-08122
Device Sequence Number1
Product Code HRS
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PK111663
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial
Report Date 10/06/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/09/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number815037012
Device Lot NumberM00499 F
Other Device ID NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received11/13/2014
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured10/27/2014
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
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