ZIMMER NATURAL NAIL SYSTEM GUIDE WIRE GRIPPER N/A 00249001200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2017-05-03 for ZIMMER NATURAL NAIL SYSTEM GUIDE WIRE GRIPPER N/A 00249001200 manufactured by Zimmer, Inc..

Event Text Entries

[74313377] (b)(4). Customer has not indicated whether or not the product will 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.
Patient Sequence No: 1, Text Type: N, H10


[74313378] It was reported that the wire gripper does not grip the wire. This issue was observed during sterilization and had no patient involvement. Therefore, no adverse events were reported as a result of the malfunction. No further information has been provided.
Patient Sequence No: 1, Text Type: D, B5


[133948175] This follow-up report is being submitted to relay additional information. The following sections were updated: complaint sample was evaluated and the reported event was confirmed. A functional check was completed on the returned product with the mating guide wires. The hole does not securely grip the guide wire. Light impact marks as documented on attached print and detailed photos. Device history record was reviewed and no discrepancies were found. Review of the complaint history determined that no further action is required as no trends were identified. The most likely probably cause of the reported issue is wear and tear from use. There are warnings in the package insert that this type of event can occur and risks are addressed in risk documentation. 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.
Patient Sequence No: 1, Text Type: N, H10


[133948176]
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001822565-2017-02915
MDR Report Key6540966
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-05-03
Date of Report2017-11-10
Date of Event2017-04-04
Date Mfgr Received2017-11-09
Device Manufacturer Date2014-01-30
Date Added to Maude2017-05-03
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 G1ZIMMER, INC.
Manufacturer Street1800 WEST CENTER STREET
Manufacturer CityWARSAW IN 46580
Manufacturer CountryUS
Manufacturer Postal Code46580
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameZIMMER NATURAL NAIL SYSTEM GUIDE WIRE GRIPPER
Generic NamePASSER, WIRE
Product CodeHXI
Date Received2017-05-03
Returned To Mfg2017-06-30
Model NumberN/A
Catalog Number00249001200
Lot Number62597689
ID NumberN/A
OperatorPHYSICIAN
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER, INC.
Manufacturer Address1800 WEST CENTER STREET WARSAW IN 46580 US 46580


Patients

Patient NumberTreatmentOutcomeDate
10 2017-05-03

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