FDA Adverse Event Malfunction Summary report: N

UNIVERSAL ZIMMER/HUDSON REAMER ATTACHMENT

MDR report key: 3832915 · Received March 17, 2014

Report

Report Number
8031000-2014-00157
Event Type
Malfunction
Date Received
March 17, 2014
Date of Event
February 21, 2014
Report Date
February 21, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

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 THA THE UNIVERSAL ZIMMER/HUDSON REAMER ATTACHMENT GRINDED UNTIL IT FAILED TO OPERATE. IT WAS NOTED THAT THERE WAS SMOKE, AND THERE WAS NO PATIENT IMPACT. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
156988 UNIVERSAL ZIMMER/HUDSON REAMER ATTACHMENT UNIVERSAL ZIMMER/HUDSON REAMER ATTACHMENT GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1