FDA Adverse Event Injury Summary report: N

AIR DERMATOME HANDPIECE

MDR report key: 3111169 · Received May 8, 2013

Report

Report Number
1526350-2013-00228
Event Type
Injury
Date Received
May 8, 2013
Date of Event
April 1, 2013
Report Date
April 10, 2013
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MFR FOR REPAIR AND EVALUATION. THE SERVICE RECORD INDICATES THAT THE DEVICE WAS MANUFACTURED 02/01/1993 AND WAS LAST REPAIRED ON 08/15/2012. EVALUATION OF THE DEVICE OBSERVED DAMAGE TO THE HEAD AND 2" AND 3" WIDTH PLATES. PRIOR TO REPAIR, THE DEVICE WAS OUTSIDE OF CALIBRATION SPECIFICATIONS AT THE 0.03" THICKNESS SETTING ON THE LEFT SIDE. DAMAGE TO THE HEAD OF THE DEVICE AND LACK OF CALIBRATION MOST LIKELY CAUSED THE CUSTOMER'S EVENT. IMPROPER HANDLING BY THE USER MOST LIKELY CAUSED THE DAMAGE TO THE DEVICE AND THE LACK OF CALIBRATION. THE DEVICE WAS SERVICED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER AIR DERMATOME WAS CUTTING THE GRAFT WITH AN UNEVEN THICKNESS. ADDITIONAL CLINICAL FOLLOW UP WITH THE CUSTOMER INDICATED THAT WHILE HARVESTING A SPLIT THICKNESS GRAFT, THE BLADE CUT UNEVENLY AND SHREDDED THE GRAFT. THE GRAFT THAT WAS PRODUCED HAD A SHREDDED APPEARANCE INSTEAD OF UNIFIED THICKNESS AND AS A RESULT, AN ADDITIONAL GRAFT WAS HARVESTED. IT WAS REPORTED THAT ADDITIONAL TIME WAS REQUIRED TO HARVEST THE ADDITIONAL GRAFT; HOWEVER, THE ADDITIONAL AMOUNT OF TIME WAS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
202299 AIR DERMATOME HANDPIECE AIR DERMATOME HANDPIECE GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1