BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER NATURAL NAIL 6.0MM CANCELLOUS SCREW

    MDR report key: 2150558 · Received June 22, 2011

    Report

    Report Number
    1822565-2011-01483
    Event Type
    Malfunction
    Date Received
    June 22, 2011
    Date of Event
    May 21, 2011
    Report Date
    May 26, 2011
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE SCREW THREADS AND HEX HEAD STRIPPED. PORTIONS OF THE THREADS WERE FOUND TO HAVE SEPARATED FROM THE SCREW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER NATURAL NAIL 6.0MM CANCELLOUS SCREW HSB ZIMMER, INC. 61180694

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR