FDA Adverse Event
Malfunction
Summary report: N
ZIMMER
MDR report key: 36390
·
Received August 23, 1996
Report
- Report Number
- 1822565-1996-00598
- Event Type
- Malfunction
- Date Received
- August 23, 1996
- Report Date
- August 22, 1996
- Manufacturer
- ZIMMER, INC.
- Product Code
- HXZ
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
JAW OF DEVICE FRACTURED. NO PT INVOLVEMENT REPORTED.
Description of Event or Problem · 2
JAW OF DEVICE FRACTURED. NO PT INVOLVEMENT REPORTED.
Description of Event or Problem · 3
JAW OF DEVICE FRACTURED. NO PT INVOLVEMENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ZIMMER | PIN CUTTER | HXZ | ZIMMER, INC. | NA | 66364200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | |||
| 2 | * | |||
| 3 | * |