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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION TRAUMAONE SYSTEM DRILL, 1.6X115MM 26MM STOP; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED)

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BIOMET MICROFIXATION TRAUMAONE SYSTEM DRILL, 1.6X115MM 26MM STOP; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED) Back to Search Results
Model Number N/A
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Known Impact Or Consequence To Patient (2692)
Date of Event 11/19/2019
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Zimmer biomet complaint (b)(4).The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.The user facility is foreign; therefore a facility medwatch report will not be available.Report source ¿ (b)(6).
 
Event or Problem Description
It was reported two drill bits fractured while drilling into the lower jaw using a trocar.No adverse events have been reported as a result of the malfunction.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The complaint is confirmed.The drills were returned for evaluation.On visual inspection, the drills were noted to have a transverse fractures through the flutes near the neck.The dhr was reviewed and there were no non-conformances found.There are no indications of manufacturing defects.For this part (01-7144) and the previous one year (from the notification date) regarding the drill fracturing, there is a complaint rate of 0.24%, which is no greater than the occurrence listed in the application fmea.This is the only complaint in regards to the drill fracturing for 46-1007 lot 327137.The most likely underlying cause of the complaint is the drills experienced force in excess of what it was designed to encounter; fractures at this point of the drill are typical of excessive force fractures.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 or Problem Description
This follow-up report is being submitted to relay additional information.
 
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Brand Name
TRAUMAONE SYSTEM DRILL, 1.6X115MM 26MM STOP
Common Device Name
DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED)
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
MDR Report Key9537003
Report Number0001032347-2019-00590
Device Sequence Number19457852
Product Code HBE
UDI-Device Identifier00841036137427
UDI-Public00841036137427
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K062842
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source foreign,health professional,u
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/27/2020
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 Model NumberN/A
Device Catalogue Number46-1007
Device Lot Number327137
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/27/2020
Was the Report Sent to FDA? No
Initial Date Received by Manufacturer 12/03/2019
Supplement Date Received by Manufacturer03/20/2020
Initial Report FDA Received Date12/31/2019
Supplement Report FDA Received Date03/27/2020
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
N/A
Patient Sequence Number1
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