FDA Adverse Event Malfunction Summary report: N

UNIVERSAL MODULAR ELECTRIC/BATTERY DOUBLE T

MDR report key: 3884187 · Received May 20, 2014

Report

Report Number
8031000-2014-00240
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
May 7, 2014
Report Date
May 7, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GEY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

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 THE HANDPIECE RUNS WITHOUT INTERRUPTION (WITHOUT ACTUATION OF A TRIGGER). 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
298548 UNIVERSAL MODULAR ELECTRIC/BATTERY DOUBLE T UNIVERSAL MODULAR ELECTRIC/BATTERY DOU GEY ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1