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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET SPINE, INC. POLARIS 5.5 TORQUE INDICATING WRENCH, 110IN-LBS

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ZIMMER BIOMET SPINE, INC. POLARIS 5.5 TORQUE INDICATING WRENCH, 110IN-LBS Back to Search Results
Catalog Number 2000-9082
Medical Device Problem Codes Fracture (1260); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/30/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Without a product return, no product evaluation is able to be conducted.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.
 
Event or Problem Description
It was reported that the tip of a final driver twisted and fractured off intra-operatively.The surgeon improvised during the procedure, but there were no patient impacts since there was a backup plug driver available.
 
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Brand Name
POLARIS 5.5 TORQUE INDICATING WRENCH, 110IN-LBS
Common Device Name
WRENCH
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 Key25393808
Report Number3012447612-2026-00153
Device Sequence Number5405081
Product Code HXC
UDI-Device Identifier03662663191906
UDI-Public(01)03662663191906(10)B343513-25
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
EXEMPT
Exemption Number5645646
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/03/2026
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 Number2000-9082
Device Lot NumberB343513-25
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date06/04/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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