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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER CAS CAS FIX PIN 3.2D X 150MM STR; ORTHOPEDIC STEREOTAXIC INSTRUMENT

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ZIMMER CAS CAS FIX PIN 3.2D X 150MM STR; ORTHOPEDIC STEREOTAXIC INSTRUMENT Back to Search Results
Catalog Number 20800000010
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 07/15/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during insertion of a femoral tracker pin at rosa total knee arthroplasty, the tip broke off and remined in the cortical bone.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Additional Manufacturer Narrative
(b)(4).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 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 updated: d4; g3; h2; h5; h6.The remains of the pin used during the surgery was not returned.No picture(s) or video(s) were provided.Sales rep was contacted for additional information and replied that no x-ray images were available, and the remains of the device was discarded at the hospital.The device history record was reviewed and no discrepancies relevant to the reported event were found.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
CAS FIX PIN 3.2D X 150MM STR
Common Device Name
ORTHOPEDIC STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
ZIMMER CAS
75 queen str.
suite 3300
montreal, quebec
Manufacturer (Section G)
ZIMMER CAS
75 queen str.
suite 3300
montreal, quebec
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key22687969
Report Number0009617840-2025-00033
Device Sequence Number18533268
Product Code OLO
UDI-Device Identifier00889024563629
UDI-Public(01)00889024563629(17)291130(10)67033848
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K182964
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) 01/12/2026
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 Catalogue Number20800000010
Device Lot Number67033848
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 07/15/2025
Supplement Date Received by Manufacturer01/12/2026
Initial Report FDA Received Date08/01/2025
Supplement Report FDA Received Date01/18/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/09/2025
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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