CANCL BONE SCW TI 6.5MMX3
Report
- Report Number
- 0001822565-2026-00610
- Event Type
- Malfunction
- Date Received
- February 25, 2026
- Date of Event
- January 30, 2026
- Report Date
- March 24, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- HWC
- PMA / PMN Number
- K850770
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D10: MEDICAL PRODUCT: BURCH-SCHNEIDER, REINFORCEMENT CAGE, NEW, LEFT, 56: CATALOG # 0100191156, LOT # 3244799H2; CANCL BONE SCW TI 6.5MMX2: CATALOG # 430107020, LOT # NI; CANCL BONE SCW TI 6.5MMX3: CATALOG # 430107030, LOT # NI. G2: FOREIGN - EVENT OCCURRED IN GERMANY. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS HAVE BEEN UPDATED: B4; B5; D10; G3; H2; H6; H11. D10: MEDICAL PRODUCT: BURCH-SCHNEIDER, REINFORCEMENT CAGE, NEW, LEFT, 56: CATALOG #0100191156, LOT#3244799H2; CANCL BONE SCW TI 6.5MMX3: CATALOG #430107035, LOT#NI, QTY#2; CANCL BONE SCW TI 6.5MMX3: CATALOG #430107030, LOT#NI, QTY#2; CANCL BONE SCW TI 6.5MMX2: CATALOG #430107020, LOT#NI, QTY#2. THE INVESTIGATION IS IN PROGRESS. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP MDR WILL BE SUBMITTED.
IT WAS REPORTED THAT DURING A TOTAL HIP ARTHROPLASTY, THE FIXATION SCREWS SLIPPED THROUGH THE HOLES IN THE SHELL COMPONENT. INFORMATION REGARDING PATIENT IMPACT AND SUBSEQUENT INTERVENTION HAS NOT BEEN PROVIDED. DUE DILIGENCE IS IN PROGRESS FOR THIS EVENT; TO DATE NO ADDITIONAL INFORMATION HAS BEEN RECEIVED.
IT WAS REPORTED THAT DURING A TOTAL HIP ARTHROPLASTY, THE FIXATION SCREWS SLIPPED THROUGH THE HOLES IN THE SHELL COMPONENT. THERE WAS NO PATIENT IMPACT AS A RESULT AND THE FIXATION SCREWS REMAIN IMPLANTED. ALL AVAILABLE INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 502940 | CANCL BONE SCW TI 6.5MMX3 | SCREW, FIXATION, BONE | HWC | ZIMMER BIOMET, INC. | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | SEE H11 NARRATIVE.| SEE H11 NARRATIVE. |