FDA Adverse Event Malfunction Summary report: N

UNIVERSAL OSCILLATING SAW ATTACHMENT

MDR report key: 4212838 · Received August 4, 2014

Report

Report Number
8031000-2014-00291
Event Type
Malfunction
Date Received
August 4, 2014
Date of Event
July 24, 2014
Report Date
July 24, 2014
Manufacturer
ZIMMER SURGICAL S.A.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED TO THE MFR 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 WAS REPORTED THAT PRIOR TO SURGERY, THE SCRUB NURSE NOTED THAT THE UNIVERSAL OSCILLATING SAW ATTACHMENT PINS WERE BROKEN. THERE WAS NO PT HARM OR DELAY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
455159 UNIVERSAL OSCILLATING SAW ATTACHMENT UNIVERSAL OSCILLATING SAW ATTACHMENT GFA ZIMMER SURGICAL S.A. NA NA

Patients

Seq Age Sex Outcome Treatment
1