EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS
Report
- Report Number
- 3015543569-2025-00005
- Event Type
- Malfunction
- Date Received
- December 18, 2025
- Date of Event
- December 5, 2025
- Report Date
- January 28, 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
- CA, 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; G1; G3; G6; H1; H2; H3; H6. VISUAL EXAMINATION OF THE PROVIDED PHOTOGRAPH IDENTIFIED A PUNCTURE HOLE IN THE FOIL PACKAGING. 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. THE COMPLAINT IS 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 WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. 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 DURING A PROCEDURE, THE STERILE PACKAGING FOR ONE OF THE TAPESTRY ANCHORS WAS DAMAGED INSIDE THE BOX. THERE IS NOTED TO BE A HOLE IN THE FOIL-FOIL PACKAGING. NO PATIENT CONSEQUENCES WERE REPORTED AS A RESULT OF THE EVENT. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2423813 | EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS | FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE | MAI | EMBODY, INC | NI | 092537 | 00810063820152 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Male |