FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 3770235 · Received March 10, 2014

Report

Report Number
8031000-2014-00132
Event Type
Malfunction
Date Received
March 10, 2014
Date of Event
February 13, 2014
Report Date
February 13, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT THE UNIVERSAL OSCILLATING SAW ATTACHMENT PINS OF THE OSCILLATING ATTACHMENT BROKE OFF. THERE WAS NO PATIENT HARM; HOWEVER THERE WAS A DELAY IN SURGERY FOR APPROXIMATELY 2 MINUTES. THE PROCEDURE WAS COMPLETED WITH AN ALTERNATE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
143837 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1