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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER GMBH NCB-DF TARGET DEV FOR RT PLTS; NCB SYSTEM INSTRUMENTS

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ZIMMER GMBH NCB-DF TARGET DEV FOR RT PLTS; NCB SYSTEM INSTRUMENTS Back to Search Results
Catalog Number 02.00024.070
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/15/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2: report source: australia.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
It was reported that the targeting device was found to be broken.No known impact or consequence to the patient.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
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Brand Name
NCB-DF TARGET DEV FOR RT PLTS
Common Device Name
NCB SYSTEM INSTRUMENTS
Manufacturer (Section D)
ZIMMER GMBH
sulzer allee 8
sulzer industrie park
winterthur
Manufacturer (Section G)
ZIMMER GMBH
sulzer allee 8
sulzer industrie park
winterthur 8404
SZ   8404
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key25054547
Report Number0009613350-2026-00232
Device Sequence Number21357556
Product Code HRS
UDI-Device Identifier00889024289444
UDI-Public(01)00889024289444(11)120127(10)417549
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
NA
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) 06/29/2026
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 Health Professional
Device Catalogue Number02.00024.070
Device Lot Number417549
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 04/17/2026
Supplement Date Received by Manufacturer06/26/2026
Initial Report FDA Received Date05/01/2026
Supplement Report FDA Received Date06/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/27/2012
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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