FDA Adverse Event Malfunction Summary report: N

OSCILLATING SAW ATTACH

MDR report key: 3023175 · Received February 27, 2013

Report

Report Number
8031000-2013-00012
Event Type
Malfunction
Date Received
February 27, 2013
Date of Event
January 1, 2013
Report Date
January 18, 2013
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PL
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER AT THE TIME OF THIS REPORT. A FOLLOW UP 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 OSCILLATING SAW LOCK BLADE FELL APART. THERE WAS NO REPORT OF INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THE INCIDENT. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
84991 OSCILLATING SAW ATTACH OSCILLATING SAW ATTACH GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1