FDA Adverse Event
Malfunction
Summary report: N
UNIVERSAL OSCILLATING SAW ATTACHMENT
MDR report key: 3820639
·
Received April 1, 2014
Report
- Report Number
- 8031000-2014-00210
- Event Type
- Malfunction
- Date Received
- April 1, 2014
- Date of Event
- February 24, 2014
- Report Date
- March 13, 2014
- Manufacturer
- ZIMMER SURGICAL S.A.
- Product Code
- GFA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IR
- 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 HAD 7 PINS OF THE SAW BLADE SHAFT BROKEN. THERE WAS NO PATIENT HARM; HOWEVER THERE WAS A DELAY IN SURGERY FOR APPROXIMATELY 15 MINUTES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 196251 | UNIVERSAL OSCILLATING SAW ATTACHMENT | UNIVERSAL OSCILLATING SAW ATTACHMENT | GFA | ZIMMER SURGICAL S.A. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |