FDA Adverse Event
Malfunction
Summary report: N
MODULAR HANDLE, T NON-RATCHETING TLR 90 IN-LBS
MDR report key: 6973037
·
Received October 24, 2017
Report
- Report Number
- 3012447612-2017-00569
- Event Type
- Malfunction
- Date Received
- October 24, 2017
- Date of Event
- February 21, 2017
- Report Date
- October 24, 2017
- Manufacturer
- ZIMMER BIOMET SPINE INC.
- Product Code
- NKB
- PMA / PMN Number
- PK132884
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS RETURNED TO THE VENDOR FOR RECALIBRATION WITHOUT BEING EVALUATED. THEREFORE, NO RESULTS ARE AVAILABLE AND NO CONCLUSIONS CAN BE DRAWN. A REVIEW OF THE MANUFACTURING RECORDS DID NOT DETECT ANY ISSUES WHICH WOULD HAVE CONTRIBUTED TO THIS EVENT.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE TORQUE OUTPUT OF A TORQUE LIMITING HANDLE WAS FOUND OUTSIDE OF THE ADEQUATE PERFORMANCE RANGE. THIS WAS DETECTED DURING A PRELIMINARY CALIBRATION CHECK BY ZIMMER BIOMET SPINE PERSONNEL. THERE ARE NO SPECIFIC SURGICAL PROCEDURES ASSOCIATED WITH THIS HANDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 751501 | MODULAR HANDLE, T NON-RATCHETING TLR 90 IN-LBS | PATHFINDER NXT MINIMALLY INVASIVE PEDICLE SCREW SYSTEM | NKB | ZIMMER BIOMET SPINE INC. | NA | 77BQ-066 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |