FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 3884179 · Received May 20, 2014

Report

Report Number
8031000-2014-00241
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
May 2, 2014
Report Date
May 8, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
UNKNOWN

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 BEFORE THE SURGERY, DURING A CHECK, THE SCRUB NURSE NOTED THAT THE OSCILLATING SAW ATTACHMENT'S PINS WERE BROKEN. NO DELAY IN THE SURGERY. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT. IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW UP MEDWATCH WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
298695 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1