FDA Adverse Event Malfunction Summary report: N

UNIOVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 3905230 · Received May 28, 2014

Report

Report Number
8031000-2014-00255
Event Type
Malfunction
Date Received
May 28, 2014
Date of Event
January 31, 2014
Report Date
May 16, 2014
Manufacturer
ZIMMER SUGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

OSCILLATING SAW ATTACHMENT (B)(4) WAS RETURNED FOR COMPLAINT INVESTIGATION. UPON RECEIPT, IT HAS BEEN CONFIRMED THAT THE ATTACHMENT WAS FUNCTIONAL BUT THAT SOME PINS WERE NO LONGER ATTACHED TO THE MOUNTED DRIVE SHAFT. NO OTHER EXTERNAL DAMAGE WAS OBSERVED. THE DEVICE COULDN'T BE REPAIRED. THE ROOT CAUSE OF THE REPORTED EVENT IS UNDETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE UNIVERSAL OSCILLATING SAW ATTACHMENT DOESN'T WORK. THERE WAS NO PT HARM OR DELAY REPORTED AND THE PROCEDURE WAS COMPLETED WITH THE SAME DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314820 UNIOVERSAL OSCILLATING SAW ATTACHMENT UNIOVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SUGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1