FDA Adverse Event Malfunction Summary report: N

DERMATOME BLADES

MDR report key: 18999237 · Received March 28, 2024

Report

Report Number
0001526350-2024-00395
Event Type
Malfunction
Date Received
March 28, 2024
Report Date
March 28, 2024
Manufacturer
ZIMMER SURGICAL, INC.
Product Code
GFD
PMA / PMN Number
EXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS EVENT IS RECORDED WITH ZIMMER BIOMET UNDER (B)(4). THIS MEDWATCH IS BEING FILED AS AN INITIAL / FINAL REPORT BASED ON INFORMATION DISCOVERED DURING THE DEVICE EVALUATION. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; FUNCTIONAL, VISUAL, AND/OR DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS, AND LOT IDENTIFICATION WAS NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. 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. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORT: 0001526350-2023-01410-1 H3 OTHER TEXT : PRODUCT WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING SURGERY, THE DERMATOME DID NOT PRODUCE AN EVEN GRAFT. IT WAS SKIPPING A CHUNK IN THE MIDDLE. THERE WAS NO INFORMATION PROVIDED REGARDING ANY PATIENT HARM OR SURGICAL DELAY THAT MAY HAVE OCCURRED. DURING DEVICE INVESTIGATION IT WAS DISCOVERED THAT THE BLADE MAY HAVE CONTRIBUTED TO THE REPORTED EVENT. DUE DILIGENCE IS COMPLETE, NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
487727 DERMATOME BLADES DERMATOME GFD ZIMMER SURGICAL, INC. N/A UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Prefer Not To Disclose