FDA Adverse Event Malfunction Summary report: N

EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS

MDR report key: 23265279 · Received October 10, 2025

Report

Report Number
3015543569-2025-00003
Event Type
Malfunction
Date Received
October 10, 2025
Date of Event
September 19, 2025
Report Date
January 28, 2026
Manufacturer
EMBODY, INC
Product Code
MAI
PMA / PMN Number
K213958
Removal / Correction Number
NI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED: B4; B5; D2; D9; G1; G3; G6; H1; H2; H3; H4; H6. VISUAL EXAMINATION OF THE PROVIDED PHOTOGRAPHS AND RETURNED PRODUCT IDENTIFIED THAT THE FOIL PACKAGING HAS TWO PUNCTURE HOLES, AND THE TYVEK HAS PUNCTURE HOLES. MEDICAL RECORDS WERE NOT PROVIDED. REVIEW OF THE DEVICE HISTORY RECORD(S) IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. THE ROOT CAUSE OF THE REPORTED ISSUE IS ATTRIBUTED TO MANUFACTURING. COMPLAINT WAS CONFIRMED. IF ANY FURTHER INFORMATION WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. IF ANY FURTHER INFORMATION WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PACKAGE WAS NOTED TO HAVE THE NEEDLES EXTENDING IN IT, PUNCTURING THE PACKAGE. NO PATIENT WAS INVOLVED IN THE EVENT. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
312050 EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE MAI EMBODY, INC NI 062551

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown