FDA Adverse Event
Malfunction
Summary report: N
UNIVERSAL MODULAR ELECTRIC/BATTERY SINGLE
MDR report key: 3810810
·
Received March 21, 2014
Report
- Report Number
- 8031000-2014-00183
- Event Type
- Malfunction
- Date Received
- March 21, 2014
- Date of Event
- March 3, 2014
- Report Date
- March 3, 2014
- Manufacturer
- ZIMMER SURGICAL S.A.
- Product Code
- GFA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- 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 UNIVERSAL MODULAR ELECTRIC/BATTERY SINGLE TRIGGER HANDPIECE STOPPED WORKING. THE ISSUE OCCURRED DURING SURGERY AND THERE WAS PATIENT INVOLVEMENT AN ALTERNATE ZIMMER POWER SETS HAD TO BE OPENED TO FINISH SURGERIES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 170458 | UNIVERSAL MODULAR ELECTRIC/BATTERY SINGLE | UNIVERSAL MODULAR ELECTRIC/BATTERY SINGLE | GFA | ZIMMER SURGICAL S.A. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |