FDA Adverse Event
Malfunction
Summary report: N
EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS
MDR report key: 23425169
·
Received October 30, 2025
Report
- Report Number
- 3015543569-2025-00004
- Event Type
- Malfunction
- Date Received
- October 30, 2025
- Date of Event
- October 9, 2025
- Report Date
- May 29, 2026
- Manufacturer
- EMBODY, INC
- Product Code
- MAI
- UDI-DI
- 00810063820152
- 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
(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
IT WAS REPORTED THAT WHILE PREPPING FOR SURGERY, THE CIRCULATING NURSE NOTED THE NEEDLES EXTENDING IN THE PACKAGING, CAUSING A PUNCTURE IN THE PACKAGE. THIS WAS NOTED OUTSIDE OF THE STERILE FIELD, SO 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 |
|---|---|---|---|---|---|---|---|
| 2408544 | EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS | FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE | MAI | EMBODY, INC | NI | 052580 | 00810063820152 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |