ZIMFOAM FINGER SPLINT N/A 66001700200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-11 for ZIMFOAM FINGER SPLINT N/A 66001700200 manufactured by Zimmer Surgical, Inc..

Event Text Entries

[95771134] This event has been recorded by zimmer biomet under cmp-(b)(4). The device history record (dhr) for the zimfoam finger splint, part number 66001700200 and lot number 15120200, review noted no related non-conformances, requests for deviation (rfd), change notices (cn), or any other issues with manufacturing. The dhr review found no issues with the device and all verifications, inspections, and tests were successfully completed. On (b)(6) 2016, it was reported from zimmer (b)(4) that two zimfoam finger splints had a loose particulate/ foreign substance in the product larger than 0. 60 mm. On 01 jun 2016, a returned product investigation was performed on the zimfoam finger splints. The physical evaluation revealed that the returned finger splints had a loose particulate/ foreign substance in the product. The results of the returned product investigation have confirmed the reported event. However, because the zimfoam finger splint is not a sterile product, there is no fault found with the product. The scope of that packaging materials inspection work instructions states on page 1 that? This process applies to all heat seals applied during sterile barrier packaging. This process also applies to all packaging materials and products?. While the returned product investigation confirmed that the zimfoam finger splint had a loose particulate/ foreign substance in the product, the zimfoam finger splint is a non-sterile product so there is no fault found with the product. Therefore, based on the information provided, a specific root cause of the reported event cannot be determined. The investigation was based on the information that was provided initially and any information that was obtained throughout the follow-up process.
Patient Sequence No: 1, Text Type: N, H10


[95771135] It was reported that loose particulate was found in the packaging. No adverse events were reported as a result of this malfunction.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001526350-2017-00960
MDR Report Key7104222
Date Received2017-12-11
Date of Report2017-12-16
Date of Event2016-02-22
Date Mfgr Received2017-12-16
Device Manufacturer Date2015-12-15
Date Added to Maude2017-12-11
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 DRIVE
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1ZIMMER SURGICAL, INC.
Manufacturer Street200 WEST OHIO AVENUE
Manufacturer CityDOVER OH 44622
Manufacturer CountryUS
Manufacturer Postal Code44622
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report0

Device Details

Brand NameZIMFOAM FINGER SPLINT
Generic NameSPLINT, HAND, AND COMPONENTS
Product CodeILH
Date Received2017-12-11
Returned To Mfg2016-05-10
Model NumberN/A
Catalog Number66001700200
Lot Number15120200
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZIMMER SURGICAL, INC.
Manufacturer Address200 WEST OHIO AVENUE DOVER OH 44622 US 44622


Patients

Patient NumberTreatmentOutcomeDate
10 2017-12-11

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