FDA Adverse Event Malfunction Summary report: N

ZIMMER SKIN GRAFT MESHER

MDR report key: 17797991 · Received September 22, 2023

Report

Report Number
0001526350-2023-01179
Event Type
Malfunction
Date Received
September 22, 2023
Date of Event
August 30, 2023
Report Date
February 29, 2024
Manufacturer
ZIMMER SURGICAL, INC.
Product Code
FZW
PMA / PMN Number
EXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
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). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001526350-2023-01180-1 THIS MEDWATCH IS BEING FILED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED: B4, B5, D4, D9, G3, G6, H2, H3, H4, H6, H10. REVIEW OF THE MOST RECENT REPAIR RECORD DETERMINED THE RATCHET PASSED INSPECTION; HOWEVER, THE COMB WAS DAMAGED AND THE DEVICE WAS OUT OF CALIBRATION. THE COMB WAS REPLACED AND THE DEVICE WAS RECALIBRATED AND RESOLVED THE REPORTED ISSUE. REVIEW OF THE DEVICE HISTORY RECORD IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. THE ROOT CAUSE OF THE REPORTED ISSUE IS ATTRIBUTED TO DESIGN ISSUE. THE EVENT CANNOT BE 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.

Additional Manufacturer Narrative · 0

THIS EVENT HAS BEEN RECORDED BY ZIMMER BIOMET UNDER (B)(4). G2 FOREIGN: (B)(6). MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001526350-2023-01180 THE CUSTOMER HAS INDICATED THAT THE DEVICE IS IN PROCESS OF BEING RETURNED TO THE MANUFACTURER FOR EVALUATION AND INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

NO ADDITIONAL EVENT INFORMATION AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT OUTSIDE OF SURGERY 2 MESHERS FAILED TO RATCHET. THE HANDLE HAD TO BE ROTATED IN A FULL 360 DEGREE CIRCLE TO DRAW THE MESH GRAFT CARRIER THROUGH THE DEVICE. THERE WAS NO PATIENT INVOLVEMENT WITH NO HARM OR DELAY REPORTED. DUE DILIGENCE IS COMPLETE. NO ADDITIONAL INFORMATION IS AVAILABLE. NO ADVERSE EVENTS WERE REPORTED AS A RESULT OF THIS MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1526739 ZIMMER SKIN GRAFT MESHER EXPANDER, SURGICAL, SKIN GRAFT FZW ZIMMER SURGICAL, INC. N/A 64371099

Patients

Seq Age Sex Outcome Treatment
1 NA Prefer Not To Disclose