30 MM LENGTH X 6.5 MM TI FULLY THREADED CANCELLOUS BONE SCREW
Report
- Report Number
- 0001822565-2026-00926
- Event Type
- Malfunction
- Date Received
- March 24, 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 6.5MMX3: CATALOG # 430107035, LOT#NI, QTY#3; CANCL BONE SCW TI 6.5MMX3: CATALOG # 430107030, LOT#NI, QTY#1; CANCL BONE SCW TI 6.5MMX2: CATALOG # 430107020, LOT#NI, QTY#2. G2: FOREIGN: (B)(6). THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT CURRENTLY REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP MDR BE SUBMITTED.
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 |
|---|---|---|---|---|---|---|---|
| 739268 | 30 MM LENGTH X 6.5 MM TI FULLY THREADED CANCELLOUS BONE SCREW | SCREW, FIXATION, BONE | HWC | ZIMMER BIOMET, INC. | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | SEE H11 NARRATIVE. |