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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. JUGGERKNOT SOFT ANCHORS JUGGERKNOT SINGLE LOADED; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE

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ZIMMER BIOMET, INC. JUGGERKNOT SOFT ANCHORS JUGGERKNOT SINGLE LOADED; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE Back to Search Results
Catalog Number 912015
Medical Device Problem Code Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/24/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the needle tip of the product was found bent after opening its package.The product was not used and the procedure was completed successfully with an alternate device.No complications, injuries, or surgical interventions were required, and no foreign bodies were retained due to this malfunction.It was reported that no further information is available.
 
Additional Manufacturer Narrative
(b)(4).E1: phone number: (b)(6).G2: foreign - the event occurred in china.The customer has indicated that the product is in the process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.If any further information is found that would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Additional Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.The following sections were updated/corrected: b4; b5; d2; g1; g3; g6; h1; h2; h3; h6.The reported event is confirmed through evaluation of provided pictures.Visual examination of the provided picture identified the tip of the inserter is bent.The anchor and suture appear to be disassembled from the inserter.Product information confirmed from label.Additional evaluation cannot be completed without product return.Review of the device history record(s) identified no deviations or anomalies during manufacturing.Medical records were not provided.A definitive root cause cannot be determined.If any further information is found that 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
JUGGERKNOT SOFT ANCHORS JUGGERKNOT SINGLE LOADED
Common Device Name
FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE
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 Key22904111
Report Number0001825034-2025-02700
Device Sequence Number8001373
Product Code MBI
UDI-Device Identifier00880304516557
UDI-Public(01)00880304516557(17)290405(10)0002619942
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K110145
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 12/26/2025
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 Number912015
Device Lot Number0002619942
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/29/2025
Supplement Date Received by Manufacturer12/26/2025
Initial Report FDA Received Date08/27/2025
Supplement Report FDA Received Date01/19/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/05/2024
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 SexUnknown
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