FDA Adverse Event Malfunction Summary report: N

ZIMMER AIR DERMATOME HANDPIECE

MDR report key: 2980657 · Received February 22, 2013

Report

Report Number
1526350-2013-00091
Event Type
Malfunction
Date Received
February 22, 2013
Date of Event
January 1, 2013
Report Date
January 31, 2013
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MFR FOR REPAIR AND EVAL. THE SERVICE RECORD INDICATES THAT THE DEVICE IS 16 YRS OLD AND WAS LAST RETURNED TO THE MFR FOR REPAIR ON (B)(4) 2012. PRIOR TO REPAIR, THE DEVICE DISPLAYED DAMAGE TO THE HEAD OF THE DEVICE AND OVER TIGHTENING OF THE 2 AND 3 INCH WIDTH PLATES. PRIOR TO REPAIR, THE DEVICE WAS OUTSIDE OF CALIBRATION SPECIFICATIONS AT THE ZERO THICKNESS SETTING ON THE LEFT SIDE. DAMAGE TO THE HEAD OF THE DEVICE AND LACK OF CALIBRATION MOST LIKELY CAUSED THE CUSTOMER'S EVENT. CLINICAL F/U DID NOT REVEAL WHAT WIDTH PLATE THE CUSTOMER UTILIZED DURING THE SURGERY. THE CAUSE IS LIKELY THE USER NOT MAINTAINING THE DEVICE PER IMPROPER HANDLING. THE DEVICE WAS SERVICED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER DERMATOME WAS NOT CUTTING PROPERLY. ADDITIONAL CLINICAL F/U WITH THE HOSP INDICATED THAT THE DEVICE WAS OBSERVED TO HAVE "A GAP OF APPROXIMATELY 1/4 INCH ON ONE SIDE." NO FURTHER INFO WAS AVAILABLE REGARDING WHETHER THIS DEVICE WAS USED FOR PT TREATMENT. HOWEVER, NO PT INJURY OR ADVERSE OUTCOME WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
77632 ZIMMER AIR DERMATOME HANDPIECE ZIMMER AIR DERMATOME HANDPIECE GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1