FDA Adverse Event Injury Summary report: N

MESHGRAFT II DERMATOME WITH RATCHET

MDR report key: 2172574 · Received July 20, 2011

Report

Report Number
1526350-2011-00154
Event Type
Injury
Date Received
July 20, 2011
Date of Event
June 1, 2011
Report Date
June 23, 2011
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR REPAIR. THE SERVICE RECORDS INDICATE THAT THE DEVICE IS 4 YEARS OLD AND HAS BEEN RETURNED FOR REPAIR PREVIOUSLY. THE INSPECTION FOUND THAT THE DEVICE WAS SLIGHTLY OUT OF CALIBRATION. THE INVESTIGATION WAS UNABLE TO DETERMINE A CAUSE OF THE REPORTED COMPLAINT. THE DEVICE BEING SLIGHTLY OUT OF CALIBRATION WOULD NOT HAVE CAUSED THE REPORTED COMPLAINT. THE DEVICE WAS SERVICED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER MESHGRAFT II WAS CUTTING INTO STRIPS. ADDITIONAL CLINICAL FOLLOW UP WITH THE HOSPITAL INDICATED THAT THE SKIN GRAFT TURNED INTO TINY STRIPS AND AGREED THAT 'LIKE SPAGHETTI." AN ADDITIONAL GRAFT NEEDED TO BE HARVESTED TO COMPLETE THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MESHGRAFT II DERMATOME WITH RATCHET MESHGRAFT II DERMATOME WITH RATCHET GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1