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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET SPINE, INC. REDUCTION SCREWDRIVER

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ZIMMER BIOMET SPINE, INC. REDUCTION SCREWDRIVER Back to Search Results
Catalog Number 3558-2
Device Problem Fracture (1260)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/21/2023
Event Type  malfunction  
Manufacturer Narrative
Without a product return, no product evaluation is able to be conducted.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.Reference voluntary medwatch mw5118887.
 
Event Description
It was reported that the tip of a pathfinder reduction screwdriver fractured during surgery.All three broken pieces were retrieved by the surgeon and there was no patient impact.
 
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Brand Name
REDUCTION SCREWDRIVER
Type of Device
SCREWDRIVER
Manufacturer (Section D)
ZIMMER BIOMET SPINE, INC.
10225 westmoor dr.
westminster CO 80021
Manufacturer (Section G)
ZIMMER BIOMET SPINE, INC.
10225 westmoor dr.
westminster CO 80021
Manufacturer Contact
sabrina abla
10225 westmoor dr.
westminster, CO 80021
7206965158
MDR Report Key18499136
MDR Text Key333197156
Report Number3012447612-2024-00007
Device Sequence Number1
Product Code HXX
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Exemption Number5645646
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 01/10/2024
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 Number3558-2
Device Lot Number71HB
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received01/11/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Age36 YR
Patient SexFemale
Patient Weight82 KG
Patient EthnicityNon Hispanic
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