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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. BEAD TIP GD WIRE 2.6MM X 80CM; PIN, FIXATION

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ZIMMER BIOMET, INC. BEAD TIP GD WIRE 2.6MM X 80CM; PIN, FIXATION Back to Search Results
Catalog Number 14-410002
Device Problem Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/27/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: foreign - (b)(4).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.
 
Event Description
It was reported that when the product was received the external box and the sterile packaging was open.There was no surgical involvement.
 
Manufacturer Narrative
Upon receipt of additional information, it has been determined that this device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.
 
Event Description
Upon receipt of additional information, it has been determined that this device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.
 
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Brand Name
BEAD TIP GD WIRE 2.6MM X 80CM
Type of Device
PIN, FIXATION
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key11789996
MDR Text Key249456864
Report Number0001825034-2021-01337
Device Sequence Number1
Product Code HTY
UDI-Device Identifier0088786809298
UDI-Public(01)0088786809298(17)300821(10)312770
Combination Product (y/n)N
PMA/PMN Number
K831005
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,foreign
Type of Report Initial,Followup
Report Date 08/19/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number14-410002
Device Lot Number312770
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 04/27/2021
Initial Date FDA Received05/07/2021
Supplement Dates Manufacturer Received08/12/2021
Supplement Dates FDA Received08/20/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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