FDA Adverse Event Malfunction Summary report: N

ZIMMER SKIN GRAFT MESHER

MDR report key: 3060617 · Received April 5, 2013

Report

Report Number
1526350-2013-00169
Event Type
Malfunction
Date Received
April 5, 2013
Date of Event
March 1, 2013
Report Date
March 7, 2013
Manufacturer
ZIMMER SURGICAL
Product Code
FZW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER; HOWEVER THE INVESTIGATION WAS NOT COMPLETED AT THE TIME OF THIS REPORT. A FOLLOW UP MEDWATCH WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER SKIN GRAFT MESHER SKIPPED CUTS AND THE MESHER WOULD NOT RATCHER. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
141712 ZIMMER SKIN GRAFT MESHER ZIMMER SKIN GRAFT MESHER FZW ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1 00-7703-030-00 (SN# (B)(4))| 00-7703-020-00 (SN# (B)(4))| 00-7703-040-00 (SN# (B)(4))| 00-7703-015-00 (SN# (B)(4))