BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JUGGERKNOT MINI, ONE 3-0 MAXBRAID - BLUE / WHIT

    MDR report key: 16278953 · Received January 31, 2023

    Report

    Report Number
    MW5114615
    Event Type
    Malfunction
    Date Received
    January 31, 2023
    Date of Event
    October 6, 2022
    Report Date
    January 12, 2023
    Manufacturer
    ZIMMER BIOMET CENTROAMERICA SA
    Product Code
    MBI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    ZIMMER BIOMET ONE-TIME USE JUGGERKNOT SOFT ANCHOR 912082 MALFUNCTIONED, TIP OF ANCHOR BROKEN. NEW ANCHOR OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    903150 JUGGERKNOT MINI, ONE 3-0 MAXBRAID - BLUE / WHIT FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE MBI ZIMMER BIOMET CENTROAMERICA SA 912082 005710

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Male