FDA Adverse Event Malfunction Summary report: N

EMBODY DUAL ANCHOR INSERTER, BIOABSORBABLE ANCHORS

MDR report key: 23846223 · Received December 18, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

(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.

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 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