FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 4110177 · Received September 11, 2014

Report

Report Number
8031000-2014-00307
Event Type
Malfunction
Date Received
September 11, 2014
Date of Event
August 1, 2014
Report Date
September 3, 2014
Manufacturer
ZIMMER SURGICAL S.A
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
UNKNOWN

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 DURING KIT INSPECTION, THE UNIVERSAL OSCILLATING SAW ATTACHMENT WAS NOTED TO "LACK OF TOOTH TO SET THE SAW" (I.E., PINS WERE NOTED AS MISSING IN THE BLADE LOCKING MECHANISM). THERE WAS NO EXTENSION IN SURGERY TIME, NO HARM, INJURY OR ADVERSE EVENT TO PATIENT/OPERATOR AND NO MEDICAL INTERVENTION/ADDITIONAL SURGICAL PROCEDURE REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
563100 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A NA NA

Patients

Seq Age Sex Outcome Treatment
1