MAUDE Adverse Event Report: BIOMET MICROFIXATION BIOMET MICROFIXATION FACIAL PLATING SYSTEM; PLATE, BONE

Model Number	N/A
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/09/2021
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that the screws fragmented during implantation.The surgeon removed the fractured screws during the procedure.
Additional Manufacturer Narrative
Zimmer biomet complaint (b)(4).Concomitant medical products: item # 91-6105, lot # j379580, biomet microfixation facial plating system qty 3; item # 91-6105, lot # 863840, biomet microfixation facial plating system qty 4.Report source: foreign - event occurred in (b)(6).Item returned for investigation.Returned screw clearly fractured at the shaft, near the head of the screw.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.Multiple mdr reports were filed for this event, please see associated reports: 0001032347-2021-00396, 0001032347-2022-00029, 0001032347-2022-00030, 0001032347-2021-00400, 0001032347-2022-00031, 0001032347-2022-00033, 0001032347-2022-00034.
Additional Manufacturer Narrative
Zimmer biomet complaint (b)(4).Concomitant medical products: item # 91-6105, lot # j379580, biomet microfixation facial plating system qty 3; item # 91-6105, lot # 863840, biomet microfixation facial plating system qty 4.Report source: foreign - event occurred in (b)(6).Item returned for investigation.Returned screw clearly fractured at the shaft, near the head of the screw.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.Multiple mdr reports were filed for this event, please see associated reports: 0001032347-2021-00396, 0001032347-2022-00029, 0001032347-2022-00030, 0001032347-2021-00400, 0001032347-2022-00031, 0001032347-2022-00033, 0001032347-2022-00034.
Event or Problem Description
It was reported that the screws fragmented during implantation.The surgeon removed the fractured screws during the procedure.

• Brand Name: BIOMET MICROFIXATION FACIAL PLATING SYSTEM
• Common Device Name: PLATE, BONE
• Manufacturer (Section D): BIOMET MICROFIXATION; 1520 tradeport drive; jacksonville FL 32218
• Manufacturer (Section G): BIOMET MICROFIXATION; 1520 tradeport drive; jacksonville FL 32218
• Manufacturer Contact: christina arnt ; 1520 tradeport drive; jacksonville, FL 32218 ; 9047414400
• MDR Report Key: 13578944
• Report Number: 0001032347-2022-00032
• Device Sequence Number: 20266510
• Product Code: JEY
• UDI-Device Identifier: 00841036053741
• UDI-Public: (01)00841036053741(10)863840
• Combination Product (Y/N): N
• Initial Reporter Country: CO
• PMA/510(K) Number: K121589
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Distributor
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 02/22/2022

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
• Operator of Device: Health Professional
• Device Model Number: N/A
• Device Catalogue Number: 91-6105
• Device Lot Number: 863840
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 10/13/2021
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/21/2021
• Initial Report FDA Received Date: 02/22/2022
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 02/04/2020
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement: N/A
• Patient Sequence Number: 1
• Patient Sex: Female