BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DERMATOME

    MDR report key: 35801 · Received August 21, 1996

    Report

    Report Number
    MW1009769
    Event Type
    Malfunction
    Date Received
    August 21, 1996
    Date of Event
    August 14, 1996
    Report Date
    August 16, 1996
    Manufacturer
    ZIMMER PATIENT CARE DIVISION
    Product Code
    GFD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SURGEON WANTED TO TAKE A SPLIT THICKNESS SKIN GRAFT ON RIGHT THIGH. THE DERMATOME TOOK A FULL THICKNESS SKIN GRAFT ON THE RIGHT THIGH EVEN THOUGH IT WAS NOT SET TO TAKE A FULL THICKNESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DERMATOME DERMATOME GFD ZIMMER PATIENT CARE DIVISION 1185-01 *

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other