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)) |