inforMED
MalfunctionHXY

TRINICA ATO

Received Jul 28, 2009 · Event occurred Feb 26, 2007

Report 2184052-2009-00044 · MDR key 1485826

Device

Generic name

Swivel Drill Guide

Manufacturer

Zimmer Spine, Inc.

Model number

07.00796.001

Catalog number

07.00796.001

Lot number

P050893

Product problems

  • Break

Patient

Not reported

  • No Information

Narrative

Description of Event or Problem

WHEN ATTACHING THE DRILL GUIDE TO THE PLATE, THE DISTAL PIN WHICH SEATS IN THE PLATE BROKE OFF. THE BROKEN PIECE WAS RETRIEVED. A DIFFERENT DRILL GUIDE FROM THE SET WAS USED TO COMPLETE THE CASE. LESS THAN 10 MINUTES WAS ADDED TO SURGERY TIME.

Additional Manufacturer Narrative

DEVICE HISTORY RECORD REVIEWED. REVIEW OF DEVICE HISTORY RECORDS INDICATE THE DEVICE WAS MANUFACTURED TO SPECIFICATION. THIS MDR IS BEING SUBMITTED LATE AS THIS ISSUE WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINT FILES CONDUCTED IN-CONJUNCTION WITH IMPLEMENTATION OF REVISED MDR REPORTING CRITERIA FOR ZIMMER.