FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 3915829 · Received June 12, 2014

Report

Report Number
8031000-2014-00263
Event Type
Malfunction
Date Received
June 12, 2014
Date of Event
March 21, 2014
Report Date
June 5, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FI
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

UNIVERSAL OSCILLATING SAW ATTACHMENT (B)(6) WAS RETURNED FOR COMPLAINT INVESTIGATION. UPON RECEIPT, IT WAS CONFIRMED THAT SOME OF THE PINS WERE NO LONGER ATTACHED TO THE MOUNTED DRIVE SHAFT. NO OTHER EXTERNAL DAMAGE WAS OBSERVED. THE DEVICE WAS REPAIRED AND RETURNED. THE ROOT CAUSE OF THE REPORTED EVENT IS UNDETERMINED.

Description of Event or Problem · 1

IT IS REPORTED THAT THE UNIVERSAL OSCILLATING SAW ATTACHMENT LOCKING MECHANISM WAS NOT WORKING AS EXPECTED. IT WAS NOT POSSIBLE TO ATTACH THE SAW BLADE INTO THE ATTACHMENT. THERE WAS NO PT HARM OR DELAY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346574 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1