FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 3982990 · Received July 2, 2014

Report

Report Number
8031000-2014-00270
Event Type
Malfunction
Date Received
July 2, 2014
Date of Event
June 1, 2014
Report Date
June 4, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
HAB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

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 IS REPORTED THAT THE PINS WERE MISSING FROM THE UNIVERSAL OSCILLATING SAW ATTACHMENT. SURGERY COMPLETED WITH ANOTHER DEVICE. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
388031 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT HAB ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1