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 |