MAUDE Adverse Event Report: ZIMMER BIOMET SPINE, INC. TRINICA SELF DRILLING SCREW FIXED, 4.2X16MM; TRINICA(R) SELECT ANTERIOR CERVICAL PLATE SYSTEM

Catalog Number	07.00811.007
Medical Device Problem Code	Material Discolored (1170)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Inspection the returned device matches the information in the complaint file and was examined.Visual inspection revealed the package label states the screw is a fixed screw; however, the screw is a variable screw.Dhr review the dhr was reviewed.There are no indications of manufacturing issues which would have contributed to this event and the device was likely conforming when it left highridge medical¿s control.Potential root cause a definitive root cause cannot be determined with the information provided.This event could possibly be attributed to packaging or inspection error.Device usage this device is used for treatment.A follow-up report will be sent if additional information is obtained that adds value to the relevant content of this report reference reports 3012447612-2023-00384 and 3012447612-2023-00385.
Event or Problem Description
It was reported that a distributor received two trinica standard/select screws that were in packages labeled as fixed screws but were actually variable screws.A third screw package was received in which the screw looked to have the incorrect anodize color; however, device evaluation by the manufacturer found the incorrect screw was within the package.These were detected upon receipt and there was no patient involvement.This is report three of three for this event.

• Brand Name: TRINICA SELF DRILLING SCREW FIXED, 4.2X16MM
• Common Device Name: TRINICA(R) SELECT ANTERIOR CERVICAL PLATE SYSTEM
• Manufacturer (Section D): ZIMMER BIOMET SPINE, INC.; 10225 westmoor dr.; westminster CO 80021
• Manufacturer (Section G): ZIMMER BIOMET SPINE, INC.; 10225 westmoor dr.; westminster CO 80021
• Manufacturer Contact: sabrina abla ; 10225 westmoor dr.; westminster, CO 80021 ; 7206965158
• MDR Report Key: 19617964
• Report Number: 3012447612-2024-00143
• Device Sequence Number: 17712418
• Product Code: KWQ
• UDI-Device Identifier: 00889024323902
• UDI-Public: (01)00889024323902(10)60340286
• Combination Product (Y/N): N
• Initial Reporter State: CO
• Initial Reporter Country: US
• PMA/510(K) Number: K132012
• Exemption Number: 5645646
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 06/25/2024

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: Other
• Device Catalogue Number: 07.00811.007
• Device Lot Number: 60340286
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 11/29/2023
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 06/26/2024
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 08/02/2022
• 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
• Patient Sex: Prefer Not To Disclose
• Patient Ethnicity: Non Hispanic