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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. DRILL BIT 2.2MM NS; BIT, DRILL

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ZIMMER BIOMET, INC. DRILL BIT 2.2MM NS; BIT, DRILL Back to Search Results
Model Number N/A
Device Problem Fracture (1260)
Patient Problem Foreign Body In Patient (2687)
Event Date 03/14/2023
Event Type  Injury  
Manufacturer Narrative
(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.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.
 
Event Description
It was reported that during an open reduction and internal fixation of a left distal radius fracture, the screwdriver tip broke off inside the proximal locking screw.No intervention has been reported.The fractured piece has been retained in the patient body.No adverse event has been reported as a result of the malfunction.
 
Event Description
No further event information is available at the time of this report.
 
Manufacturer Narrative
Reported event was confirmed by review of pictures.Visual examination of the provided pictures identified that the tip of the screwdriver broke off.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to be determined.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
DRILL BIT 2.2MM NS
Type of Device
BIT, DRILL
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 Key16665551
MDR Text Key312536065
Report Number0001825034-2023-00720
Device Sequence Number1
Product Code HWR
UDI-Device Identifier00880304533516
UDI-Public(01)00880304533516(11)211111(10)CA5L246
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 07/28/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number231200200
Device Lot NumberCA5L246
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 03/28/2023
Initial Date FDA Received04/03/2023
Supplement Dates Manufacturer Received05/04/2023
Supplement Dates FDA Received07/28/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/11/2021
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 Outcome(s) Required Intervention; Hospitalization;
Patient Age21 YR
Patient SexMale
Patient Weight72 KG
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