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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11 additional narrative: d4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.
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It was reported that the screw seemed to be stuck in the tibial jig.It was noted that the screw was half way in the hole.It was further reported that the surgeon tried to loosen but was causing further damage to jig.No patient was harmed, alternative tray was open and used to complete the procedure.Nothing was broken, no loose parts, nothing left inside the patient and no return to theatre.
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