FDA Adverse Event
Malfunction
Summary report: N
JGRKNT 1.0MM MINI 3-0 NDL 10PK
MDR report key: 25045794
·
Received April 30, 2026
Report
- Report Number
- 0001825034-2026-01161
- Event Type
- Malfunction
- Date Received
- April 30, 2026
- Date of Event
- April 2, 2026
- Report Date
- April 30, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- DZL
- UDI-DI
- 00880304523401
- PMA / PMN Number
- K140908
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4). D10: ITEM # 912084, JGRKNT 1.0MM MINI 3-0 NDL 10PK, LOT # 0002726981. G2: FOREIGN, EVENT OCCURRED IN (B)(6). THE CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE FORK-SHAPED COMPONENTS ON TWO CONSECUTIVE UNITS FRACTURED. NO FOREIGN BODY RESIDUE WAS OBSERVED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 59870 | JGRKNT 1.0MM MINI 3-0 NDL 10PK | SCREW, FIXATION, INTRAOSSEOUS | DZL | ZIMMER BIOMET, INC. | 0002726981 | 00880304523401 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | SEE H11 NARRATIVE. |