FDA Adverse Event Injury Summary report: N

Z NAIL CMF 11.5MMX21.5CM 125 L

MDR report key: 24625202 · Received March 18, 2026

Report

Report Number
0009613350-2026-00171
Event Type
Injury
Date Received
March 18, 2026
Date of Event
March 5, 2026
Report Date
March 18, 2026
Manufacturer
ZIMMER GMBH
Product Code
HSB
PMA / PMN Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: CONCOMITANT MEDICAL PRODUCTS: DESC: Z NAIL CMF 10.5 X 85 LAG SCR; ITEM: 47-2499-085-10; LOT: 3241725. G2: FOREIGN - EVENT OCCURRED IN JAPAN. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL FIXATION PROCEDURE. APPROXIMATELY FOUR WEEKS POSTOPERATIVELY, THE SURGEON CONFIRMED FROM X-RAYS THAT THE LAG SCREW HAD BACKED OUT. THE PATIENT IS BEING MONITORED, AND NO REVISION SURGERY IS PLANNED SO FAR. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
686295 Z NAIL CMF 11.5MMX21.5CM 125 L ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES HSB ZIMMER GMBH 3241772

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other SEE H11 NARRATIVE.