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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION THINFLAP SYSTEM CROSS-DRIVE, SELF-DRILLING SCREW; PLATE, BONE

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BIOMET MICROFIXATION THINFLAP SYSTEM CROSS-DRIVE, SELF-DRILLING SCREW; PLATE, BONE Back to Search Results
Model Number N/A
Device Problem Dull, Blunt (2407)
Patient Problem No Patient Involvement (2645)
Event Date 08/05/2019
Event Type  malfunction  
Manufacturer Narrative
Zimmer biomet complaint (b)(4).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.The user facility is foreign; therefore a facility medwatch report will not be available.Report source: (b)(6).
 
Event Description
It was reported the self-drilling screws would not insert well into the bone.No adverse events have been reported as a result of the malfunction.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The complaint is non-verifiable.The complaint was opened because (b)(6), sales rep reports 2 screws that could not drll into the bone due to poor self-drilling.The 1.5x4mm x-drive tf sd screw ea (part# 91-6704, lot# unk) was not returned for investigation and no photos were provided.For these reasons, the screw could not be visually evaluated or functionally tested.The dhr for this product could not be reviewed due to the lot number being unknown.There are no indications of manufacturing defects.For this part (91-6704) and the previous one year (from the notification date) regarding the fracturing of this screw, there is a complaint rate of (b)(4) which is no greater than the occurrence listed in the application fmea.The most likely underlying cause could not be determined.Potential contributing factors could be a worn tip resulting from excessive force applied during insertion to a patient with high bone density or the insertion angle of the screw.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.
 
Event Description
This follow-up report is being submitted to relay additional information.
 
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Brand Name
THINFLAP SYSTEM CROSS-DRIVE, SELF-DRILLING SCREW
Type of Device
PLATE, BONE
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
MDR Report Key8972960
MDR Text Key158638343
Report Number0001032347-2019-00410
Device Sequence Number1
Product Code JEY
UDI-Device Identifier00841036134808
UDI-Public00841036134808
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,user faci
Type of Report Initial,Followup
Report Date 11/25/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/06/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number91-6704
Device Lot NumberN/A
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received11/06/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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