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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. SUPER MAXCUTTER; CUTTER, WIRE

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ZIMMER BIOMET, INC. SUPER MAXCUTTER; CUTTER, WIRE Back to Search Results
Model Number N/A
Device Problem Mechanical Jam (2983)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 11/26/2018
Event Type  malfunction  
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.(b)(4).Event occurred in (b)(6).
 
Event Description
It was reported that during a procedure, the instrument jammed while the surgeon was attempting to cut the suture and was unable to cut.A second instrument was able to be used successfully.There was no impact to the patient.Attempts have been made and no further information has been provided.
 
Manufacturer Narrative
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
No further event information available at the time of this report.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Complaint sample was evaluated and the reported event was confirmed.The returned product was visually inspected, and it was noted that a lot of the blue anodize was worn off of the instrument.The trigger binds and gets stiff when working the trigger and does not advance the punch all the way.Device history record (dhr) was reviewed and no discrepancies were found.Root cause could not 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
SUPER MAXCUTTER
Type of Device
CUTTER, WIRE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key8203010
MDR Text Key131766699
Report Number0001825034-2018-11542
Device Sequence Number1
Product Code HXZ
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,foreign,health pr
Type of Report Initial,Followup,Followup
Report Date 04/01/2019
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 Number900342
Device Lot Number309580
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/07/2019
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 12/06/2018
Initial Date FDA Received12/28/2018
Supplement Dates Manufacturer Received01/03/2019
04/01/2019
Supplement Dates FDA Received01/08/2019
04/03/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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