ZYSTON STRAIGHT INLINE INSERTER
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
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 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.
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.
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. |