MAUDE MDR 7660845

MDR report key
7660845
Report number
0001822565-2018-03519
Event key
0
Event type
3
Date received
2018-07-03
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. CHRISTINA ARNT
Address
56 E. BELL DR. WARSAW IN 46582 US
Phone
574-574-5745
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ZNN GUIDE WIRE GRIPPERPASSER, WIREZIMMER BIOMET, INC.HXIN/A0024900120063107373Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-07-030

Event Narratives#

N

Patient 1

(B)(4). REPORT SOURCE, FOREIGN ? EVENTS OCCURRED IN (B)(6). 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.

D

Patient 1

IT WAS REPORTED THAT DURING A PROCEDURE, THE GUIDE WIRE GRIPPER WAS NOT ABLE TO HOLD THE GUIDE WIRE. ANOTHER DEVICE WAS UTILIZED TO SUCCESSFULLY COMPLETE THE PROCEDURE. NO ADVERSE EVENTS HAVE BEEN REPORTED AS A RESULT OF THE MALFUNCTION. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE.

N

Patient 1

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. COMPLAINT SAMPLE WAS EVALUATED AND THE REPORTED EVENT WAS NOT CONFIRMED. NO ISSUE WAS FOUND UPON EXAMINATION OF THE RETURNED DEVICE. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. DEVICE ANALYSIS INDICATED THAT THE DEVICE MET SPECIFICATION. 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.

D

Patient 1

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.