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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. DERMATOME AN HANDPIECE; DERMATOME, PNEUMATICALLY-POWERED

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ZIMMER SURGICAL, INC. DERMATOME AN HANDPIECE; DERMATOME, PNEUMATICALLY-POWERED Back to Search Results
Model Number N/A
Device Problems Failure to Cut (2587); Calibration Problem (2890); Patient Device Interaction Problem (4001); Audible Prompt/Feedback Problem (4020)
Patient Problem Laceration(s) (1946)
Event Date 04/24/2023
Event Type  Injury  
Manufacturer Narrative
This complaint is recorded by zimmer biomet under (b)(4).A follow up/ final report will be submitted once investigation is complete 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
It was reported that the dermatome blade was oscillating and the surgeon felt that it was too thin and would like the unit recalibrated.The event timing was during surgery.There was a 5 minute delay and an additional graft was needed.Diligence is in process and no additional information has come in to date.
 
Manufacturer Narrative
It was reported that the device was cutting thin and needed recalibration.Review of the most recent repair record could not be completed because the device was not returned for evaluation and repair.G2: foreign country- canada.Device history record (dhr) review was unable to be performed as the lot number of the device involved in the event is unknown.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 h3 other text : not returned.
 
Event Description
There is no additional event information available.
 
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Brand Name
DERMATOME AN HANDPIECE
Type of Device
DERMATOME, PNEUMATICALLY-POWERED
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 Key16973869
MDR Text Key315677419
Report Number0001526350-2023-00483
Device Sequence Number1
Product Code GFD
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 10/31/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/22/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number88710100
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received10/17/2023
Was Device Evaluated by Manufacturer? No
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
Patient Outcome(s) Other;
Patient SexPrefer Not To Disclose
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