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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. MIXING BOWL AND SPATULA; MIXER, CEMENT, FOR CLINICAL USE

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ZIMMER BIOMET, INC. MIXING BOWL AND SPATULA; MIXER, CEMENT, FOR CLINICAL USE Back to Search Results
Catalog Number 00504901100
Medical Device Problem Code Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during stock inspection, the package was found to be nonconforming with a narrow sealing area.There was no patient involvement.Attempts have been made and no further information has been provided.
 
Additional Manufacturer Narrative
(b)(4).G2: foreign - event occurred in japan.-visual evaluation of the returned product found a pouch with peeling in the seal area.The seal was measured and found the seal is non-conforming to zpc 8.400.-review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.-reported event did not occur in an operating room or as part of a medical procedure; medical records are not available for review.-the root cause of the reported event can be attributed to a manufacturing issue.-complaint is confirmed.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
MIXING BOWL AND SPATULA
Common Device Name
MIXER, CEMENT, FOR CLINICAL USE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key25119564
Report Number0001822565-2026-01498
Device Sequence Number18307916
Product Code JDZ
UDI-Device Identifier00889024376564
UDI-Public(01)00889024376564(17)300918(10)85390024
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 05/07/2026
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 Number00504901100
Device Lot Number85390024
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/23/2025
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/05/2026
Initial Report FDA Received Date05/07/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/18/2025
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
Patient SexUnknown
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