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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION PECTUS SYSTEM 10.5" PECTUS SUPPORT BAR; PECTUS BAR

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BIOMET MICROFIXATION PECTUS SYSTEM 10.5" PECTUS SUPPORT BAR; PECTUS BAR Back to Search Results
Model Number N/A
Device Problem Sharp Edges (4013)
Patient Problem No Patient Involvement (2645)
Event Date 08/21/2018
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event, please see associated report: 0001032347-2018-00640.
 
Event Description
It was reported the surgeon compared the pectus bars and identified some have sharp/ pointy teeth.There was no patient involvement.
 
Event Description
This follow-up report is being submitted to relay additional information.
 
Manufacturer Narrative
Reported event was unable to be confirmed due to limited information received from the customer.Functional testing and inspections could not be performed due to the product not being returned and no x-rays, scans, or physician reports being provided.The lot reported j3864168 was manufactured 8 sep 2016, while the surgeon provided part 01-3717 lot 084101 for reference, manufactured 23 may 2006.No lot number was provided for the 01-3716 bar.The print was reviewed for any engineering change request (ecrs); none were identified that affected the radius of the "teeth" or bar edges.The available lots of pectus bars in stock were pulled for evaluation.None of the lots pulled exhibited sharp teeth.The material certification for part 01-3710-05 lot j3864168 was reviewed and no discrepancies were found.Device history record (dhr) review was unable to be performed for part 01-3716 as the lot number of the device involved in the event is unknown.The complaint cannot be verified and the most likely underlying cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
PECTUS SYSTEM 10.5" PECTUS SUPPORT BAR
Type of Device
PECTUS BAR
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
MDR Report Key7874625
MDR Text Key120256090
Report Number0001032347-2018-00639
Device Sequence Number1
Product Code HRS
Combination Product (y/n)N
PMA/PMN Number
PK972420
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Type of Report Initial,Followup
Report Date 02/08/2019
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
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number01-3710-05
Device Lot NumberJ3864168
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 08/21/2018
Initial Date FDA Received09/13/2018
Supplement Dates Manufacturer Received01/11/2019
Supplement Dates FDA Received02/08/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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