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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER CAS CAS FIXATION PIN 3.2D X 80MM STERILE; ORTHOPEDIC STEREOTAXIC INSTRUMENT

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ZIMMER CAS CAS FIXATION PIN 3.2D X 80MM STERILE; ORTHOPEDIC STEREOTAXIC INSTRUMENT Back to Search Results
Model Number N/A
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/19/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source foreign: (b)(6).Multiple mdr reports were filed for this event, please see associated reports: 0009617840-2021-00010, 0009617840-2021-00011, 0009617840-2021-00012, 0009617840-2021-00013, 0009617840-2021-00014, 0009617840-2021-00015, 0009617840-2021-00016, 0009617840-2021-00017, 0009617840-2021-00018, 0009617840-2021-00019, 0009617840-2021-00020.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 the cas fixation pin primary packaging was not correctly sealed.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Manufacturer Narrative
Upon reassessment of the reported event, it was determined to be not reportable.Through evaluation of the pictures provided, and comparison with the packaging drawing for the subject product, the reported complaint is unconfirmed.Per the packaging drawing, the foil pouch is folded, not sealed, and does not provide any sterile barrier.There is no non-conformance per the images provided.
 
Event Description
No additional information on the reported event.
 
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Brand Name
CAS FIXATION PIN 3.2D X 80MM STERILE
Type of Device
ORTHOPEDIC STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
ZIMMER CAS
75 queen str.
suite 3300
montreal, quebec H3C 2 N6
CA  H3C 2N6
Manufacturer (Section G)
ZIMMER CAS
75 queen str.
suite 3300
montreal, quebec H3C 2 N6
CA   H3C 2N6
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key12300659
MDR Text Key265803495
Report Number0009617840-2021-00009
Device Sequence Number1
Product Code OLO
Combination Product (y/n)N
Reporter Country CodeIT
PMA/PMN Number
K210121
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 11/09/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/10/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number20-8000-000-11
Device Lot Number64808899
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received11/03/2021
Was Device Evaluated by Manufacturer? No
Date Device Manufactured08/27/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberNI
Patient Sequence Number1
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