FDA Adverse Event Malfunction Summary report: N

30 MM LENGTH X 6.5 MM TI FULLY THREADED CANCELLOUS BONE SCREW

MDR report key: 24680112 · Received March 24, 2026

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

Additional Manufacturer Narrative · 0

(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.

Description of Event or Problem · 0

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.