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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. DISPOSABLE MIXING BOWL AND SPATULA; SURGICAL INSTRUMENT

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ZIMMER BIOMET, INC. DISPOSABLE MIXING BOWL AND SPATULA; SURGICAL INSTRUMENT Back to Search Results
Model Number N/A
Device Problem Device Contaminated During Manufacture or Shipping (2969)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 02/14/2020
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: (b)(6).Multiple mdr reports were filed for this event, please see associated reports: 0001822565-2020-02973, 0001822565-2020-02974, 0001822565-2020-02975.Visual evaluation of the returned products confirmed the presence of loose blue particles inside the sealed pouch for three of the twenty units.The three units contains each one loose blue particle.All the blue particles have a size greater than 0.60 sq.Mm as measured with tappi chart, which is not acceptable.The complaint is confirmed complaint sample was evaluated and the reported event was confirmed.Device history record was reviewed and no discrepancies were found.The likely condition of the three units when they left zimmer biomet control is considered non-conforming.The blue particles likely came from the excess flash generated during the molding process of the mixing bowl and/or during the trimming of this excess flash.The root cause of the reported issue is attributed to a manufacturing issue.The following actions were previously initiated to address this issue, a change to manufacturing has been implemented to reduce flash and reduce trimming.The reported product was manufactured before the implementation of this manufacturing change.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 there was debris in the sterile packaging.No adverse events have been reported as a result of the malfunction.Additional information on the reported event is unavailable.
 
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Brand Name
DISPOSABLE MIXING BOWL AND SPATULA
Type of Device
SURGICAL INSTRUMENT
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 Key10442163
MDR Text Key204012410
Report Number0001822565-2020-02974
Device Sequence Number1
Product Code JDZ
UDI-Device Identifier00889024376564
UDI-Public(01)00889024376564
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,distri
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 08/21/2020
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 Expiration Date08/10/2020
Device Model NumberN/A
Device Catalogue Number00504901100
Device Lot Number64435604
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/10/2020
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 02/14/2020
Initial Date FDA Received08/24/2020
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/15/2019
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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