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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SWITZERLAND MANUFACTURING GMBH Z NAIL CMF 10.5 X 95 LAG SCR TRAUMA PROSTHESIS

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ZIMMER SWITZERLAND MANUFACTURING GMBH Z NAIL CMF 10.5 X 95 LAG SCR TRAUMA PROSTHESIS Back to Search Results
Model Number N/A
Device Problem Activation, Positioning or SeparationProblem (2906)
Patient Problems Joint Dislocation (2374); Insufficient Information (4580)
Event Date 02/14/2022
Event Type  Injury  
Event Description
It was reported that initial operation was performed with cmf nail system. After 2 months from the initial, surgeon confirmed x-rays and he found the lag screw was sliding to outer side. The surgeon keep an eye on the patient condition as well as no revision will be planned so far.
 
Manufacturer Narrative
Concomitant medical product: z nail cmf 11. 5mmx17. 5cm 125r catalog#: 47-2498-180-11; lot#: 3056778. Tls compression device catalog#: 00-2490-101-22; lot#: unknown. Cmf torque limiting handle catalog#: 00-2490-101-24; lot#: unknown. The manufacturer did not receive x-rays, or other source documents for review. The manufacturer did not receive the device for investigation. The lot number of the device was received. The device history records will be reviewed during investigation. A cause for this specific event cannot be ascertained from the information provided. As soon as supplemental information becomes available an updated report will be submitted. Zimmer biomet¿s reference number of this file is (b)(4). Remains implanted.
 
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Brand NameZ NAIL CMF 10.5 X 95 LAG SCR
Type of DeviceTRAUMA PROSTHESIS
Manufacturer (Section D)
ZIMMER SWITZERLAND MANUFACTURING GMBH
sulzer allee 8
sulzer industrie park
winterthur 8404
SZ 8404
Manufacturer (Section G)
ZIMMER SWITZERLAND MANUFACTURING GMBH
sulzer allee 8
sulzer industrie park
winterthur 8404
SZ 8404
Manufacturer Contact
christina arnt
56 e. bell dr.
warsaw, IN 46582
5745273773
MDR Report Key13759186
MDR Text Key287579451
Report Number0009613350-2022-00146
Device Sequence Number1
Product Code HSB
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
N/A
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation
Type of Report Initial,Followup
Report Date 05/16/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/14/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator
Device Model NumberN/A
Device Catalogue Number47-2499-095-10
Device Lot Number3073401
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received05/11/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured08/17/2021
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 Treatment Data
Date Received: 03/14/2022 Patient Sequence Number: 1
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