This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d4, g4, g7, h1, h2, h3, h4, h6, h10.Device history record was reviewed and no discrepancies relevant to the reported event were found.Per the surgtech associated with the nail, the alignment of the nail should be checked with a screw cannula, drill sleeve and drill bit to verify that the holes in the guide target the holes in the nail.The root cause is determined as user error - failure to follow instructions.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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