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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
Catalog Number 00882100100
Device Problems Failure to Cut (2587); Patient Device Interaction Problem (4001)
Patient Problem Laceration(s) (1946)
Event Date 11/13/2023
Event Type  Injury  
Manufacturer Narrative
This event is recorded by zimmer biomet under (b)(4).G2, country event occurred in: united kingdom.The product is in the process of being evaluated by zimmer biomet.Once the product investigation has been completed, a follow up/final report will be submitted.
 
Event Description
It was reported that during surgery the unit caused a skin laceration to the patient.There was no information communicated regarding delay.Due diligence is complete as multiple attempts were made; however, no further information was received.As no additional information has been received, we are unable to provide further information.
 
Manufacturer Narrative
This event is recorded by zimmer biomet under (b)(4) review of the most recent repair record determined the motor speed was unstable, the calibration was out at the 0,10, 20, and 30 readings and the position of the control bar was not correct.The motor was replaced and the unit and position of the control bar were recalibrated and resolved the reported issue.Review of the device history record identified no deviations or anomalies during manufacturing.A definitive root cause cannot be determined.The event cannot be 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.
 
Event Description
No additional information is available regarding the incident.
 
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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
5745260384
MDR Report Key18257036
MDR Text Key329612755
Report Number0001526350-2023-01572
Device Sequence Number1
Product Code GFD
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 05/13/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number00882100100
Device Lot Number32224900
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/28/2023
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 11/13/2023
Initial Date FDA Received12/04/2023
Supplement Dates Manufacturer Received05/13/2024
Supplement Dates FDA Received05/13/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/17/1999
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
Treatment
UNK DERMATOME BLADE
Patient Outcome(s) Other;
Patient SexPrefer Not To Disclose
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