FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 4110176 · Received September 11, 2014

Report

Report Number
8031000-2014-00308
Event Type
Malfunction
Date Received
September 11, 2014
Date of Event
August 12, 2014
Report Date
August 13, 2014
Manufacturer
ZIMMER SURGICAL S.A
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURE; HOWEVER, THE INVESTIGATION WAS NOT COMPLETED AT THE TIME OF THIS REPORT. A FOLLOW UP MEDWATCH WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT IS REPORTED THAT PRIOR TO SURGERY THE UNIVERSAL OSCILLATING SAW ATTACHMENT PINS THAT SHOULD FIX THE SAW BLADE BROKE OFF. THE PROCEDURE WAS COMPLETED WITH AN ALTERNATE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
562311 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A NA NA

Patients

Seq Age Sex Outcome Treatment
1