FDA Adverse Event Malfunction Summary report: N

ZIMMER AIR DERMATOME II HANDPIECE

MDR report key: 3915810 · Received June 12, 2014

Report

Report Number
1526350-2014-00377
Event Type
Malfunction
Date Received
June 12, 2014
Date of Event
May 1, 2014
Report Date
May 13, 2014
Manufacturer
ZIMMER SURGICAL
Product Code
GFD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NO RETURNED TO THE MFR FOR EVAL. A FOLLOW UP MEDWATCH WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ZIMMER AIR DERMATOME II HANDPIECE WOULD STOP SUDDENLY WHEN IN USE AND WOULDN'T RESTART. WHEN IT WAS TESTED AFTER OPERATION IT STARTED TO WORK AND STOPPED INTERMITTENTLY, SECONDARY TESTING IN THE OFFICE PRODUCED A RESULT THAT SHOWED THE DEVICE WORKED PROPERLY. IT WAS REPORTED THAT THE SURGEON HAD TO OBTAIN AN ALTERNATE DEVICE TO COMPLETE THE SURGERY. ADD'L INFO DETERMINED THAT THE ISSUE OCCURRED DURING SURGERY; HOWEVER THERE WAS NO PT HARM OR SURGICAL DELAY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346567 ZIMMER AIR DERMATOME II HANDPIECE ZIMMER AIR DERMATOME II HANDPIECE GFD ZIMMER SURGICAL NA NA

Patients

Seq Age Sex Outcome Treatment
1