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 |