ZIMMER NATURAL NAIL 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,health report with the FDA on 2017-09-29 for ZIMMER NATURAL NAIL GUIDE WIRE GRIPPER N/A 00249001200 manufactured by Zimmer Biomet, Inc..

Event Text Entries

[87779068] (b)(4). 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. Multiple mdr reports were filed for this event, please see associated reports: 0001822565-2017-06708 and 0001822565-2017-06709.
Patient Sequence No: 1, Text Type: N, H10


[87779069] It was reported that during an open reduction internal fixation procedure of the femur, the guide wire instrument did not grip properly. Another instrument from another tray was utilized to complete the procedure. No adverse events have been reported as a result of the malfunction.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001822565-2017-06709
MDR Report Key6903757
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2017-09-29
Date of Report2018-02-15
Date Mfgr Received2018-02-14
Device Manufacturer Date2015-03-23
Date Added to Maude2017-09-29
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 BIOMET, INC.
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 NameZIMMER NATURAL NAIL GUIDE WIRE GRIPPER
Generic NamePASSER, WIRE
Product CodeHXI
Date Received2017-09-29
Returned To Mfg2018-01-15
Model NumberN/A
Catalog Number00249001200
Lot Number63017696
ID NumberN/A
OperatorPHYSICIAN
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZIMMER BIOMET, INC.
Manufacturer Address56 E. BELL DRIVE WARSAW IN 46582 US 46582


Patients

Patient NumberTreatmentOutcomeDate
10 2017-09-29

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