ELECTRIC DERMATOME HANDPIECE
Report
- Report Number
- 1526350-2013-00044
- Event Type
- Malfunction
- Date Received
- February 1, 2013
- Date of Event
- January 10, 2013
- Report Date
- January 4, 2013
- Manufacturer
- ZIMMER ORTHOPAEDIC SURGICAL PRODUCTS
- Product Code
- GFD
- Removal / Correction Number
- RES 61798
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR, US
- Reporter Occupation
- UNKNOWN
Narratives
BEGINNING (B)(4), 2012, US AND (B)(4) CUSTOMERS WERE SENT AN URGENT PATIENT SAFETY ADVISORY INFORMING THEM OF THE NEED FOR PROPER CARE AND PREVENTATIVE MAINTENANCE OF THEIR ZIMMER ELECTRIC DERMATOME. CUSTOMERS WERE INFORMED THAT IMPROPERLY MAINTAINED INSTRUMENTS MAY CAUSE DONOR SITE INJURIES OR RESULT IN DAMAGE TO THE GRAFT. CUSTOMERS WERE REQUESTED TO CONTACT ZIMMER TO SCHEDULE MAINTENANCE FOR THE DEVICE IN ACCORDANCE WITH THE INSTRUCTIONS FOR USE. THE DEVICE WAS RETURNED TO THE MFR FOR REPAIR AND EVAL. THE SERVICE RECORD INDICATES THAT THE DEVICE IS 18 YEARS OLD AND WAS LAST RETURNED TO THE MFR FOR REPAIR ON (B)(4) 2009. VERIFICATION OF CALIBRATION DETERMINED THAT THE DEVICE WAS OUTSIDE CALIBRATION AT THE ZERO THICKNESS SETTING ON THE LEFT AND RIGHT SIDE. THE UNIT WAS ALSO OUTSIDE OF SIDE TO SIDE SPECIFICATIONS ON THE ZERO THICKNESS SETTING. THE DEVICE¿S MOTOR DID NOT RUN WHILE INSIDE THE DEVICE, AND DISPLAYED EXCESSIVE CURRENT DRAW DURING POST-REPAIR ANALYSIS. IN POST ¿REPAIR ANALYSIS, IT WAS ALSO NOTED THAT THE MOTOR HAD CORROSION ON THE OUTSIDE OF THE CASING. THE CAUSE IS MOST LIKELY DUE TO THE USER NOT MAINTAINING THE DEVICE PER PREVENTATIVE MAINTENANCE AND HANDLING ACCORDING TO THE INSTRUCTIONS FOR USE. THE ZIMMER ELECTRIC DERMATOME SHOULD BE RETURNED EVERY 12 MONTHS FOR INSPECTION AND PREVENTATIVE MAINTENANCE. ANNUAL FACTORY CALIBRATION CHECKS ARE STRONGLY RECOMMENDED TO VERIFY CONTINUED ACCURACY. THE DEVICE WAS SERVICED AND RETURNED TO THE CUSTOMER.
IT WAS REPORTED THAT THE ZIMMER DERMATOME MOTOR WAS INTERMITTENTLY LOCKING UP. ADD¿L CLINICAL FOLLOW UP WITH THE HOSPITAL INDICATED THAT THERE WAS NO INFO AVAILABLE REGARDING WHEN THE ISSUE OCCURRED. HOWEVER, THERE WAS NO REPORT OF ANY ADVERSE PATIENT OR PROCEDURE OUTCOME. IT WAS REPORTED THAT ALTERNATE DEVICES ARE AVAILABLE ON SITE FOR USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 45376 | ELECTRIC DERMATOME HANDPIECE | ELECTRIC DERMATOME HANDPIECE | GFD | ZIMMER ORTHOPAEDIC SURGICAL PRODUCTS | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |