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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. HANDPIECE, ELECTRIC DERMATOME

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ZIMMER SURGICAL, INC. HANDPIECE, ELECTRIC DERMATOME Back to Search Results
Model Number N/A
Device Problems Incorrect, Inadequate or Imprecise Result or Readings (1535); Unstable (1667); Failure to Cut (2587)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
This event has been recorded by zimmer biomet under (b)(4).Initial reporter telephone number (b)(6).Evaluation and investigation is in process.Once the investigation is complete, a supplemental report will be filed.
 
Event Description
It was reported that the electric dermatome had lack of power and produced too thin a cut making it impossible to produce flaps.No adverse events were reported as a result of this malfunction.
 
Event Description
No additional event information available.
 
Manufacturer Narrative
This event has been recorded by zimmer biomet under cmp-(b)(4).This medwatch is being filed to relay additional information.The following sections were updated/corrected: b4, b5, d4, g1, g3, g6, h2, h3, h4, h6, h10.Review of the most recent repair record determined the unit had calibration issues, position of the control bar was not correct, the reciprocating arm and needle bearing were worn, and motor speed was unstable and the motor, bearings, thickness control shaft, and reciprocating arm were replaced and device recalibrated and resolved the reported issue.Review of the device history record identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.The event is confirmed.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
HANDPIECE, ELECTRIC DERMATOME
Type of Device
DERMATOME
Manufacturer (Section D)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
Manufacturer (Section G)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
Manufacturer Contact
jennifer rapsavage
56 e. bell drive
warsaw, IN 46582
5745273773
MDR Report Key14373700
MDR Text Key291611942
Report Number0001526350-2022-00458
Device Sequence Number1
Product Code GFD
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 07/25/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/12/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number00882100100
Device Lot Number62904087
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/09/2022
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received07/22/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/02/2014
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Removal/Correction NumberN/A
Patient Sequence Number1
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