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