CERTAIN? 4, 5, 6MM(D) IMPLANT DRIVER TIP - LONG IIPDTL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-01-17 for CERTAIN? 4, 5, 6MM(D) IMPLANT DRIVER TIP - LONG IIPDTL manufactured by Biomet 3i.

Event Text Entries

[176654591] Zimmer biomet (b)(4). Patient age and weight not provided/unknown. Event date not provided/unknown. Device lot number not provided/unknown. Reporter's name and email not provided/unknown.
Patient Sequence No: 1, Text Type: N, H10


[176654592] It was reported that the driver tip fractured. The surgery was completed using another driver.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001038806-2020-00154
MDR Report Key9601218
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-01-17
Date of Report2020-03-25
Date Mfgr Received2020-03-18
Date Added to Maude2020-01-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS SUSANNE TAYLOR
Manufacturer Street4555 RIVERSIDE DRIVE
Manufacturer CityPALM BEACH GARDENS FL 33410
Manufacturer CountryUS
Manufacturer Postal33410
Manufacturer Phone5617766700
Manufacturer G1BIOMET 3I
Manufacturer Street4555 RIVERSIDE DRIVE
Manufacturer CityPALM BEACH GARDENS FL 33410
Manufacturer CountryUS
Manufacturer Postal Code33410
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCERTAIN? 4, 5, 6MM(D) IMPLANT DRIVER TIP - LONG
Generic NameDRIVER
Product CodeNDP
Date Received2020-01-17
Returned To Mfg2019-12-17
Catalog NumberIIPDTL
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBIOMET 3I
Manufacturer Address4555 RIVERSIDE DRIVE PALM BEACH GARDENS FL 33410 US 33410


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-17

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.