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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION TW DRILL 1.1X50MM 7MMSTOP W/NT; FLUTED SURGICAL DRILL BIT, REUSABLE

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BIOMET MICROFIXATION TW DRILL 1.1X50MM 7MMSTOP W/NT; FLUTED SURGICAL DRILL BIT, REUSABLE Back to Search Results
Catalog Number 01-7144
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/16/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the drill was broken during a procedure.All debris/fragments were recovered.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Additional Manufacturer Narrative
(b)(4).G2: japan.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.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, e1, g3, g6, h2, h3, h4, h6, h11.H6: suggested component code- mechanical (g04) ¿ drill.No product was returned.A visual inspection was conducted on the customer provided pictures.The pictures show that a clear fracture occurred near where the fluted portion of the drill tip meets the drill body.The complaint is confirmed a determination cannot be made as to what caused the drill to fracture.Review of the certs identified no deviations or anomalies during manufacturing.A supplier dhr review was not conducted as material cert confirms that the material and hardness of the instrument meet specification requested as certs show.A review of end level device history records was not performed as it is package and label related only and reported event is not associated with a packaging or labeling related issue.A definitive root cause cannot be determined.The reported event is confirmed, based on provided photos.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 further event information is available at the time of this report.
 
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Brand Name
TW DRILL 1.1X50MM 7MMSTOP W/NT
Common Device Name
FLUTED SURGICAL DRILL BIT, REUSABLE
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer (Section G)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key20612258
Report Number0001032347-2024-00341
Device Sequence Number20815624
Product Code HBE
UDI-Device Identifier00841036013165
UDI-Public(01)00841036013165(10)350632
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K062842
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 02/27/2025
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 Catalogue Number01-7144
Device Lot Number350632
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 10/21/2024
Supplement Date Received by Manufacturer02/27/2025
Initial Report FDA Received Date11/05/2024
Supplement Report FDA Received Date02/27/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/05/2019
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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