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 2018-08-22 for GUIDE WIRE GRIPPER N/A 00249001200 manufactured by Zimmer Biomet, Inc..

Event Text Entries

[117851998] (b)(4). Concomitant medical product - tear drop guide wire 3. 0 mm diameter 100 cm length, cat#: 47249009700 lot#: 63836284; tear drop guide wire 3. 0 mm diameter 100 cm length, cat#: 47249009700 lot#: 63855457. (b)(6). Product has been 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 all associated reports: 0001822565-2018-03636, 0001822565-2018-03226.
Patient Sequence No: 1, Text Type: N, H10


[117851999] It was reported that during a femoral nailing procedure, the guide wire gripper would no longer grip the guide wire. 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 at this time.
Patient Sequence No: 1, Text Type: D, B5


[132785911] 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. Inspection of the returned device revealed impaction marks present on the product. The 3. 0 mm hole exhibits wear indicative of use. The etching of the product is faded. The wear on the holes leads to insufficient gripping of guide wires. The part was measured within specifications. The functional check revealed that the gripper fails to grip the guide wire. Device history record was reviewed and no discrepancies relevant to the reported event were found. The gripper was used in-vivo in the field for approximately (b)(4) years. The root cause of the reported event is attributed to wear and tear due to normal use. 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


[132785912] No further event information available at the time of this report.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001822565-2018-03636
MDR Report Key7804616
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2018-08-22
Date of Report2019-01-08
Date of Event2018-05-09
Date Mfgr Received2019-01-04
Device Manufacturer Date2014-01-30
Date Added to Maude2018-08-22
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 NameGUIDE WIRE GRIPPER
Generic NamePASSER, WIRE
Product CodeHXI
Date Received2018-08-22
Returned To Mfg2018-06-20
Model NumberN/A
Catalog Number00249001200
Lot Number62597689
OperatorHEALTH PROFESSIONAL
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 2018-08-22

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