FDA Adverse Event Malfunction Summary report: N

Z.S.G.M. CUTTER 2:1 RATIO ( CAUTION: SHARP )

MDR report key: 17633113 · Received August 28, 2023

Report

Report Number
0001526350-2023-00993
Event Type
Malfunction
Date Received
August 28, 2023
Report Date
August 28, 2023
Manufacturer
ZIMMER SURGICAL, INC.
Product Code
FZW
PMA / PMN Number
PREAMENDMENT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS EVENT HAS BEEN RECORDED BY ZIMMER BIOMET UNDER (B)(4). G2 FOREIGN: CANADA. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001526350-2023-00214-2. THE INVESTIGATION IS COMPLETE. THIS IS AN INITIAL FINAL REPORT SUBMISSION. REVIEW OF THE MOST RECENT REPAIR RECORD IDENTIFIED THE FOLLOWING RELATED REPAIR: THE CUTTER FAILED TESTING DUE TO AN INCOMPLETE CUT. THE CUTTER WILL NEED REPLACEMENT. REVIEW OF THE DEVICE HISTORY RECORD IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. 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 THE DEVICE WAS NOT MESHING. THERE WAS NO HARM OR DELAY REPORTED. DUE DILIGENCE IS COMPLETE. NO ADVERSE EVENTS WERE REPORTED AS A RESULT OF THIS MALFUNCTION. AT PRODUCT EVALUATION INVESTIGATION THE CUTTER FAILED TESTING DUE TO AN INCOMPLETE CUT. NO ADDITIONAL EVENT INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1338970 Z.S.G.M. CUTTER 2:1 RATIO ( CAUTION: SHARP ) EXPANDER, SURGICAL, SKIN GRAFT FZW ZIMMER SURGICAL, INC. N/A 60227532

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose