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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. 2.7MM CALIB DRILL BIT; FLUTED SURGICAL DRILL BIT, SINGLE-USE, NON-STERILE

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ZIMMER BIOMET, INC. 2.7MM CALIB DRILL BIT; FLUTED SURGICAL DRILL BIT, SINGLE-USE, NON-STERILE Back to Search Results
Catalog Number 214227070
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/17/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the tip of the drill bit was broken during a procedure.The surgery was carried out using another drill bit.All pieces were retrieved.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Additional Manufacturer Narrative
(b)(4).G2: jordan.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event or Problem Description
No further event information is available at the time of this report.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were corrected: h4 the following sections wereupdated: b4, b5, g3, g6, h2, h3, h6, h11.H6: mechanical (g04) - drill.Visual examination of the provided pictures identified the tip of the drill bit fractured.Review of the device history record(s) identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.The reported event is confirmed as a picture was provided.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.
 
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Brand Name
2.7MM CALIB DRILL BIT
Common Device Name
FLUTED SURGICAL DRILL BIT, SINGLE-USE, NON-STERILE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key20852511
Report Number0001825034-2024-02870
Device Sequence Number8100248
Product Code HTW
UDI-Device Identifier00887868446597
UDI-Public(01)00887868446597(10)ZB7410087
Combination Product (Y/N)N
Initial Reporter CountryJO
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 01/02/2025
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 Number214227070
Device Lot NumberZB7410087
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 11/26/2024
Supplement Date Received by Manufacturer12/26/2024
Initial Report FDA Received Date12/05/2024
Supplement Report FDA Received Date01/02/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/14/2023
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 Number1
Patient SexFemale
Patient Weight80 KG
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