FDA Adverse Event Malfunction Summary report: N

ZYSTON STRAIGHT INLINE INSERTER

MDR report key: 22328378 · Received June 25, 2025

Report

Report Number
3012447612-2025-00248
Event Type
Malfunction
Date Received
June 25, 2025
Date of Event
May 26, 2025
Report Date
September 30, 2025
Manufacturer
ZIMMER BIOMET SPINE, INC.
Product Code
MAX
UDI-DI
00888480472100
PMA / PMN Number
K112014
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D4: THE REMAINDER OF THE UDI NUMBER IS UNKNOWN BECAUSE THE LOT NUMBER IS NOT AVAILABLE. D10: 14-534187 LOT 0100371 (ZYSTON STRAIGHT 7H X 20LX10W LORDOTIC SPACER). WITHOUT A PRODUCT RETURN, NO PRODUCT EVALUATION IS ABLE TO BE CONDUCTED. THE LOT NUMBER IS UNKNOWN; THEREFORE THE DEVICE HISTORY RECORDS ARE UNABLE TO BE REVIEWED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A VALID CONCLUSION ABOUT THE CAUSE OF THIS EVENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT AND/OR A CONCLUSION CAN BE DRAWN, A FOLLOW-UP REPORT WILL BE SENT.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION IN H6: INVESTIGATION TYPE, FINDINGS, AND CONCLUSIONS. DEVICE EVALUATION: THE DEVICE WAS NOT RETURNED AND NO PHOTOS WERE PROVIDED, SO AN EVALUATION IS UNABLE TO BE PERFORMED. ROOT CAUSE: THIS EVENT COULD POSSIBLY BE ATTRIBUTED TO OFF-AXIS OR EXCESSIVE FORCES APPLIED DURING USE. DHR REVIEW: THE LOT NUMBER WAS NOT REPORTED AND THE DEVICE WAS NOT RETURNED, THEREFORE A DHR REVIEW IS UNABLE TO BE PERFORMED. DEVICE USAGE: THIS DEVICE IS USED FOR TREATMENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT, A FOLLOW-UP REPORT WILL BE SENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BOTH PRONGS ON THE TIP OF A ZYSTON INSERTER BROKE OFF WHILE INSERTING THE CAGE INTO THE DISC SPACE INTRA-OPERATIVELY; THE CONNECTION BETWEEN THE INSERTER AND CAGE LOOSENED. THE THREADS OF THE CAGE WERE DAMAGED WHILE THE SURGEON WAS BACKING IT OUT TO EXCHANGE INSERTERS; THE CAGE WAS ALSO REPLACED TO COMPLETE THE PROCEDURE WITHOUT PATIENT IMPACTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT BOTH PRONGS ON THE TIP OF A ZYSTON INSERTER BROKE OFF WHILE INSERTING THE CAGE INTO THE DISC SPACE INTRA-OPERATIVELY; THE CONNECTION BETWEEN THE INSERTER AND CAGE LOOSENED. THE THREADS OF THE CAGE WERE DAMAGED WHILE THE SURGEON WAS BACKING IT OUT TO EXCHANGE INSERTERS; THE CAGE WAS ALSO REPLACED TO COMPLETE THE PROCEDURE WITHOUT PATIENT IMPACTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2399241 ZYSTON STRAIGHT INLINE INSERTER INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, LUMBAR MAX ZIMMER BIOMET SPINE, INC. NA NI 00888480472100

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SEE H10.