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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER ORTHOPAEDIC SURGICAL PRODUCTS, INC. DUO FLUID CART WITH POWER IV; APPARATUS, SUCTION, WARD USE, PORTABLE, AC-POWERED

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ZIMMER ORTHOPAEDIC SURGICAL PRODUCTS, INC. DUO FLUID CART WITH POWER IV; APPARATUS, SUCTION, WARD USE, PORTABLE, AC-POWERED Back to Search Results
Model Number 00-5140-103-00
Device Problems Vibration (1674); Noise, Audible (3273)
Patient Problem Insufficient Information (4580)
Event Date 07/20/2021
Event Type  malfunction  
Event Description
Zimmer suction so loud you have a hard time hearing staff talk to each other.Zimmer suction vibrates floor.
 
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Brand Name
DUO FLUID CART WITH POWER IV
Type of Device
APPARATUS, SUCTION, WARD USE, PORTABLE, AC-POWERED
Manufacturer (Section D)
ZIMMER ORTHOPAEDIC SURGICAL PRODUCTS, INC.
56 east bell drive
warsaw IN 46581
MDR Report Key12286908
MDR Text Key265395637
Report Number12286908
Device Sequence Number1
Product Code JCX
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 07/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/06/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Model Number00-5140-103-00
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA07/23/2021
Event Location Hospital
Date Report to Manufacturer08/06/2021
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Age22630 DA
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