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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; TRAUMA DISPOSABLES

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ZIMMER BIOMET, INC. BEAD TIP GD WIRE 2.6MM X 80CM; TRAUMA DISPOSABLES Back to Search Results
Model Number N/A
Device Problem Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/11/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: (b)(6).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 there was a scratch found on the sterile package.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
(b)(4).Reported event was confirmed as visual evaluation of the returned product found the device has punctured through both sterile barriers and the outer corrugated carton.Sterility has been breached.Device history record was reviewed and no discrepancies relevant to the reported event were found.A definitive root cause could not be determined.The condition of the device when it left zimmer biomet is conforming to specification.The root cause of the reported event can be attributed to transit damage.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.
 
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Brand Name
BEAD TIP GD WIRE 2.6MM X 80CM
Type of Device
TRAUMA DISPOSABLES
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 Key12747032
MDR Text Key279946850
Report Number0001825034-2021-03036
Device Sequence Number1
Product Code HTY
UDI-Device Identifier0088786809298
UDI-Public(01)0088786809298(17)301019(10)069570
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K831005
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative,Distributor
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 12/14/2021
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 Model NumberN/A
Device Catalogue Number14-410002
Device Lot Number069570
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/04/2021
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 10/11/2021
Initial Date FDA Received11/03/2021
Supplement Dates Manufacturer Received12/10/2021
Supplement Dates FDA Received12/14/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/19/2020
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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