| Brand Name | TRINICA VARIABLE ANGLE BONE SCREW 4.2X12MM |
| Common Device Name | APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY |
| 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 |
|
teresa
george
|
| 10225 westmoor dr. |
| westminster, CO 80021
|
|
3035018506
|
|
| MDR Report Key | 24317833 |
| Report Number | 3012447612-2026-00052 |
| Device Sequence Number | 4863394 |
| Product Code |
KWQ
|
| UDI-Device Identifier | 00889024320918 |
| UDI-Public | (01)00889024320918(10)62173950 |
| Combination Product (Y/N) | N |
| Initial Reporter State | VA |
| 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,Followup |
| Report Date (Section B) |
06/21/2026 |
| 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 | 07.00117.001 |
| Device Lot Number | 62173950 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 02/05/2026 |
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 02/11/2026 |
| Supplement Report FDA Received Date | 06/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Date Device Manufactured | 04/10/2024 |
| 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 Number | 1 |
| Patient Sex | Unknown |
| Patient Ethnicity | Non Hispanic |