FRENCH ROD BENDER (DIA. 3.5 MM - DIA. 3.8 MM) 07.01770.001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,health profession report with the FDA on 2019-04-24 for FRENCH ROD BENDER (DIA. 3.5 MM - DIA. 3.8 MM) 07.01770.001 manufactured by Zimmer Biomet Spine Inc..

Event Text Entries

[142920341] Current information is insufficient to permit a valid conclusion about the cause of this event. A follow up report will be sent upon completion of the device evaluation.
Patient Sequence No: 1, Text Type: N, H10


[142920342] It was reported that a french rod bender would not bend a rod appropriately during surgery. In-situ rod benders were used to bend the rod to complete the procedure, but this led to a delay greater than 30 minutes long. There were no reported patient impacts associated with the delay.
Patient Sequence No: 1, Text Type: D, B5


[169035517] Additional information: (methods, results, an conclusions) - the device was returned and evaluated. Visual inspection revealed no signs of damage. A functional examination showed the rod bender was able to bend a rod without any issues. The complaint is unconfirmed.
Patient Sequence No: 1, Text Type: N, H10


[169035518] It was reported that a french rod bender would not bend a rod appropriately during surgery. In-situ rod benders were used to bend the rod to complete the procedure, but this led to a delay greater than 30 minutes long. There were no reported patient impacts associated with the delay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012447612-2019-00195
MDR Report Key8544892
Report SourceDISTRIBUTOR,HEALTH PROFESSION
Date Received2019-04-24
Date of Report2019-09-18
Date of Event2019-03-25
Date Mfgr Received2019-09-06
Device Manufacturer Date2014-09-21
Date Added to Maude2019-04-24
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. ASHLEY MCPHERSON
Manufacturer Street10225 WESTMOOR DR. NA
Manufacturer CityWESTMINSTER CO 80021
Manufacturer CountryUS
Manufacturer Postal80021
Manufacturer Phone3034437500
Manufacturer G1ZIMMER BIOMET SPINE INC.
Manufacturer Street10225 WESTMOOR DR. NA
Manufacturer CityWESTMINSTER CO 80021
Manufacturer CountryUS
Manufacturer Postal Code80021
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameFRENCH ROD BENDER (DIA. 3.5 MM - DIA. 3.8 MM)
Generic NameBENDER
Product CodeHXW
Date Received2019-04-24
Returned To Mfg2019-04-10
Model NumberNA
Catalog Number07.01770.001
Lot Number62732077
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZIMMER BIOMET SPINE INC.
Manufacturer Address10225 WESTMOOR DR. NA WESTMINSTER CO 80021 US 80021


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-04-24

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