FDA Adverse Event Malfunction Summary report: N

ZIMMER AIR DERMATOME II HANDPIECE

MDR report key: 3874623 · Received April 24, 2014

Report

Report Number
1526350-2014-00319
Event Type
Malfunction
Date Received
April 24, 2014
Date of Event
April 1, 2014
Report Date
April 9, 2014
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THE SERVICE RECORD INDICATES THAT THE DEVICE WAS MANUFACTURER ON 08/08/2013 AND WAS PREVIOUSLY RETURNED FOR REPAIR ON 12/20/2013 FOR THE SAME ISSUE. THE DEVICE WAS NOT RETURNED TO ZIMMER SURGICAL FOR EVALUATION AND REPAIR; THEREFORE, THE CUSTOMER'S REPORTED EVENT COULD NOT BE CONFIRMED. THE CAUSE OF THE REPORTED ISSUE IS UNDETERMINED. INVESTIGATION OF THE BUBBLING AND PEELING OF THE SURFACE COATING OBSERVED WITH AIR DERMATOME II DEVICES AND REPLACED COMPONENTS, IS STILL ONGOING.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE COATING ON THE WIDTH PLATES AND HANDPIECE OF THE ZIMMER AIR DERMATOME II HANDPIECE WAS BUBBLING OUT. NO ADD'L CLINICAL INFO WAS REC'D PRIOR TO TIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
248160 ZIMMER AIR DERMATOME II HANDPIECE ZIMMER AIR DERMATOME II HANDPIECE GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1