FDA Adverse Event Malfunction Summary report: N

ZIMMER SKIN GRAFT MESHER COMPLEX

MDR report key: 3831850 · Received March 6, 2014

Report

Report Number
1526350-2014-00163
Event Type
Malfunction
Date Received
March 6, 2014
Date of Event
February 1, 2014
Report Date
February 10, 2014
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR REPAIR AND EVALUATION. THE SERVICE RECORD INDICATES THAT THE DEVICE WAS MANUFACTURED ON 10/24/1991 AND WAS LAST REPAIRED ON 11/26/2013 FOR A NON-RELATED ISSUE. EVALUATION OF THE DEVICE OBSERVED FLATTENED TINES TO THE RIGHT SIDE OF THE COMB. A RETURNED CUTTER HAD NO SERIAL NUMBER THIS CUTTER DID NOT GET TESTED, DUE TO THE LACK OF SERIAL NUMBER. ALSO THE TEST MESH WAS NOT PERFORMED DUE TO THE DAMAGED COMB. REPAIR OF THE DEVICE INCLUDED REPLACEMENT OF THE COMB. THE CAUSE OF THE REPORTED ISSUE WAS IMPROPER HANDLING BY THE USER. THE DEVICE WAS SERVICES AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS INITIALLY REPORTED THAT THE ZIMMER SKIN GRAFT MESHER NEEDED SERVICING. DURING DEVICE EVALUATION, IT WAS OBSERVED THAT THE COMB WAS BENT. THERE WAS NO PATIENT HARM OR DELAY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
134996 ZIMMER SKIN GRAFT MESHER COMPLEX ZIMMER SKIN GRAFT MESHER COMPLEX GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1