BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER DERMATOME

    MDR report key: 2250785 · Received September 6, 2011

    Report

    Report Number
    2250785
    Event Type
    Malfunction
    Date Received
    September 6, 2011
    Date of Event
    August 19, 2011
    Report Date
    September 6, 2011
    Manufacturer
    ZIMMER SURGICAL, INC.
    Product Code
    GFD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A DOCTOR WAS PERFORMING A SPLIT THICKNESS SKIN GRAFT. THE DEVICE GAVE A FULL THICKNESS GRAFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER DERMATOME ELECTRIC DERMATOME GFD ZIMMER SURGICAL, INC. 8821-01 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR