FDA Adverse Event
Malfunction
Summary report: N
RECIPROCATING SAW BLADE
MDR report key: 6793315
·
Received August 14, 2017
Report
- Report Number
- 0001526350-2017-00501
- Event Type
- Malfunction
- Date Received
- August 14, 2017
- Date of Event
- July 14, 2017
- Report Date
- September 15, 2017
- Manufacturer
- SYNVASIVE TECHNOLOGY, INC.
- Product Code
- GFA
- PMA / PMN Number
- PEXEMPT
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BE
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED AN MDR SHOULD NOT HAVE BEEN FILED UNDER THE CURRENT MFR NUMBER. THIS EVENT WILL BE REPORTED ON BY (B)(6).
Additional Manufacturer Narrative · 1
THE COMPLAINT IS BEING REPORTED BY ZIMMER BIOMET AS (B)(4). THE PRODUCT HAS NOT BEEN RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. HOWEVER, THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING SURGERY THE SAW BLADES TREMBLED ABNORMALLY WHEN BEING USED. NO ADVERSE EVENTS HAVE BEEN REPORTED AS A RESULT OF THE MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 572832 | RECIPROCATING SAW BLADE | BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL | GFA | SYNVASIVE TECHNOLOGY, INC. | N/A | 254669 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |