FDA Adverse Event Malfunction Summary report: N

ZIMMER AIR DERMATOME

MDR report key: 17361252 · Received July 20, 2023

Report

Report Number
0001526350-2023-00771
Event Type
Malfunction
Date Received
July 20, 2023
Date of Event
January 26, 2023
Report Date
July 20, 2023
Manufacturer
ZIMMER SURGICAL, INC.
Product Code
GFD
UDI-DI
00889024375901
PMA / PMN Number
EXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS EVENT HAS BEEN RECORDED BY ZIMMER BIOMET UNDER CMP-0861253. G2:FOREIGN: NETHERLANDS. REVIEW OF THE MOST RECENT REPAIR RECORD DETERMINED THE TECH FOUND THAT THE MOTOR SPEED WAS BELOW SPECIFICATION. THE MOTOR WAS REPLACED TO RESOLVE THE REPORTED ISSUE. DHR WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE REPORTED EVENT WERE FOUND. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE EVENT IS CONFIRMED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT OUTSIDE OF SURGERY DURING MAINTENANCE THE DEVICE HAD A DEFECTIVE MOTOR THAT NEEDED TO BE REPLACED. THERE WAS NO PATIENT INVOLVEMENT. DURING DEVICE EVALUATION, IT WAS DISCOVERED THAT THE MOTOR SPEED WAS BELOW SPECIFICATION. NO ADVERSE EVENTS WERE REPORTED AS A RESULT OF THIS MALFUNCTION. DUE DILIGENCE IS COMPLETE AS MULTIPLE ATTEMPTS WERE MADE; HOWEVER, NO FURTHER INFORMATION IS AVAILABLE. AS NO ADDITIONAL INFORMATION IS AVAILABLE, WE ARE UNABLE TO PROVIDE FURTHER INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
35322 ZIMMER AIR DERMATOME DERMATOME HANDPIECE, PNEUMATIC GFD ZIMMER SURGICAL, INC. N/A 63415169 00889024375901

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose