FDA Adverse Event
Malfunction
Summary report: N
ELECTRIC DERMATOME HANDPIECE
MDR report key: 2915569
·
Received January 10, 2013
Report
- Report Number
- 1526350-2013-00017
- Event Type
- Malfunction
- Date Received
- January 10, 2013
- Date of Event
- December 1, 2012
- Report Date
- December 12, 2012
- Manufacturer
- ZIMMER SURGICAL
- Product Code
- GFD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS NOT RETURNED TO THE MFR AT THE TIME OF THIS REPORT. A F/U MEDWATCH WILL BE SUBMITTED ONCE THE DEVICE HAS BEEN RETURNED AND THE INVESTIGATION IS COMPLETE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ZIMMER DERMATOME POWERS DOWN WHEN THE HAND PIECE COMES IN CONTACT WITH THE PT. NO ADD'L CLINICAL INFO WAS RECEIVED PRIOR TO THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 14422 | ELECTRIC DERMATOME HANDPIECE | ELECTRIC DERMATOME HANDPIECE | GFD | ZIMMER SURGICAL | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |