FDA Adverse Event
Injury
Summary report: N
SESAMOID PLASTY SINGLE STAND - P7
MDR report key: 7955690
·
Received October 11, 2018
Report
- Report Number
- 0009617840-2018-00011
- Event Type
- Injury
- Date Received
- October 11, 2018
- Date of Event
- August 30, 2018
- Report Date
- January 9, 2019
- Manufacturer
- ZIMMER CAS
- Product Code
- OLO
- PMA / PMN Number
- PK110054
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
(B)(4). UPON REASSESSMENT OF THE REPORTED EVENT, THE DEVICE DID NOT CAUSE A SERIOUS INJURY AND THE EVENT IS BEING REASSESSED AS NOT REPORTABLE.
Description of Event or Problem · 0
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
Additional Manufacturer Narrative · 1
(B)(6). CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. 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 A USER SUSTAINED AN INJURY UPON LIFTING THE STAND OUT OF ITS CASE DURING A SALES DEMONSTRATION. THE ISSUE IS BEING HANDLED THROUGH AN EMPLOYEE INJURY PROGRAM. NO FURTHER INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 795772 | SESAMOID PLASTY SINGLE STAND - P7 | ORTHOPEDIC STEREOTAXIC INSTRUMENT | OLO | ZIMMER CAS | N/A | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |