EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS
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
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.
(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.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
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 |