FDA Adverse Event Malfunction Summary report: N

ELECTRIC DERMATOME HANDPIECE

MDR report key: 2971236 · Received February 1, 2013

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

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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