MAUDE Adverse Event Report: ZIMMER BIOMET, INC. 2.7 MM LOCKING SCREW 16 MM LENGTH; SCREW, FIXATION

Model Number	47-4828-016-02
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Failure of Implant (1924); Pain (1994); Hyperresponsive to stimuli (4538); Swelling/ Edema (4577)
Date of Event	02/07/2022
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that patient underwent right ankle open reduction internal fixation procedure.Subsequently swelling, pain, sensitivity, discoloration, and unable to wear shoes was reported with plate and all screws removed with no complications.No further information was provided.
Additional Manufacturer Narrative
(b)(4).Part: 47235701704 lot: 63202115 distal lateral fibular plate right 4 holes 80 mm length; part: 47234801635 lot: 63085306 cortical bone screw self-tapping hex head 3.5 mm diameter 16 mm length; part: 47482801402 lot: 63202015 2.7 mm locking screw 14 mm length; part: 47234801835 lot: 63098016 cortical bone screw self-tapping hex head 3.5 mm diameter 18 mm length; part: 47482801602 lot: 63457984 2.7 mm locking screw 16 mm length; part: 47482801602 lot: 63457984 2.7 mm locking screw 16 mm length; part: 47482801602 lot: 63488874 2.7 mm locking screw 16 mm length; part: 47235901638 lot: 63174173 3.5 mm locking screw with 2.7 mm head 16 mm length.Foreign: (b)(6) 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.Multiple mdr reports were filed for this event, please see associated reports: 0001822565 - 2022 - 00540, 0001822565 - 2022 - 00730, 0001822565 - 2022 - 00731, 001822565 - 2022 - 00732, 0001822565 - 2022 - 00733, 0001822565 - 2022 - 00734, 0001822565 - 2022 - 00736, 0001822565 - 2022 - 00784.
Additional Manufacturer Narrative
Upon further investigation, the device was found related to the reported event.Medwatch (0001822565-2022-00735-1) was submitted in error and the event remains reportable.Reported event was confirmed by review of medical records.Review of the available records identified the following: swelling, pain, sensitivity, discoloration, and unable to wear shoes.Device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to 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.
Event or Problem Description
No additional event information is available at the time of this report.
Event or Problem Description
Upon receipt of additional information, it has been determined that the screws were not the cause of the corrosion, pain, or swelling and not device-related.This device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.
Additional Manufacturer Narrative
Upon receipt of additional information, it has been determined that the screws were not the cause of the corrosion, pain, or swelling and not device-related.This device did not cause or contribute to the reported event.The initial report was forwarded in error and should be voided.

• Brand Name: 2.7 MM LOCKING SCREW 16 MM LENGTH
• Common Device Name: SCREW, FIXATION
• 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 Key: 13826396
• Report Number: 0001822565-2022-00735
• Device Sequence Number: 11878744
• Product Code: HWC
• UDI-Device Identifier: 00889024100671
• UDI-Public: (01)00889024100671(17)260930(10)63457984
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: K063303
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2017
• Device Explanted Year: 2022
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 08/18/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 09/30/2026
• Device Model Number: 47-4828-016-02
• Device Catalogue Number: 47482801602
• Device Lot Number: 63457984
• Was Device Available for Evaluation?: No
• 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: 03/07/2022
• Supplement Date Received by Manufacturer: 07/12/2022; 08/09/2022
• Initial Report FDA Received Date: 03/19/2022
• Supplement Report FDA Received Date: 07/27/2022; 08/18/2022
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 09/19/2016
• 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
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: SEE NARRATIVE IN H10.
• Outcome Attributed to Adverse Event: Hospitalization; Required Intervention
• Patient Age: 44 YR
• Patient Sex: Female