BMP CABLE SLEEVE/GRIP CRIMPER N/A 498003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-03 for BMP CABLE SLEEVE/GRIP CRIMPER N/A 498003 manufactured by Biomet Trauma.

Event Text Entries

[69267804] Current information is insufficient to permit a conclusion as to the cause of the event. Review of device history records show the lot released with no recorded anomaly or deviation. In the package insert, under care and handling, it states: "surgical instruments are subject to wear with normal usage. Instruments, which have experienced extensive use or excessive force, are susceptible to fracture. Surgical instruments should only be used for their intended purpose. " (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[69267805] It was reported that the clamp fractured during the tightening of the device. Device had been in use for 3-4 months. Another instrument was used to finished the surgery non-optimally. No further information is available at this time.
Patient Sequence No: 1, Text Type: D, B5


[71876804] This follow-up report is being submitted to relay additional information. Customer has indicated that the product will not be returned to zimmer biomet for investigation, as it has been discarded. The investigation is in process. Once the investigation has been completed, a follow-up mdr will be submitted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0001825034-2017-01356
MDR Report Key6377799
Date Received2017-03-03
Date of Report2017-09-25
Date of Event2017-02-04
Date Mfgr Received2017-09-22
Device Manufacturer Date2016-09-26
Date Added to Maude2017-03-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. CHRISTINA ARNT
Manufacturer Street56 E. BELL DR.
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1BIOMET ORTHOPEDICS
Manufacturer Street56 E. BELL DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal Code46582
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameBMP CABLE SLEEVE/GRIP CRIMPER
Product CodeHXQ
Date Received2017-03-03
Model NumberN/A
Catalog Number498003
Lot Number765850
ID NumberSEE H10 NARRATIVE
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOMET TRAUMA
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
10 2017-03-03

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