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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. ZIMMER AIR DERMATOME, COMPLETE; N/A

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ZIMMER SURGICAL, INC. ZIMMER AIR DERMATOME, COMPLETE; N/A Back to Search Results
Model Number N/A
Device Problems Physical Resistance/Sticking (4012); Intermittent Loss of Power (4016)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/12/2023
Event Type  malfunction  
Event Description
It was reported that outside of surgery, the device is blocking and freezes while working.There was no patient involvement.Due diligence is complete and there is no additional information available.There is no adverse event associated with this malfunction.
 
Manufacturer Narrative
An investigation into the reported event has been initiated under (b)(4).Once the investigation has been completed, a follow up report will be submitted with the investigation results and any actions taken by the manufacturer.E1 telephone number:(b)(6).G2 country: italy.
 
Manufacturer Narrative
This complaint is recorded by zimmer biomet under (b)(4).Review of the most recent repair record determined the control bar position was not correct and was damaged, the unit was out of calibration, the reciprocation arm and needle bearing were corroded and the motor speed was unstable; however, the repair has not been completed because the repair site is waiting on material for repair.Review of the device history record identified no deviations or anomalies during manufacturing.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.
 
Event Description
There is no additional information available regarding the event.
 
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Brand Name
ZIMMER AIR DERMATOME, COMPLETE
Type of Device
N/A
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 Key17378515
MDR Text Key319684036
Report Number0001526350-2023-00786
Device Sequence Number1
Product Code GFD
Combination Product (y/n)N
Reporter Country CodeIT
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 01/10/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/24/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number00880100000
Device Lot Number2831300
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received01/10/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured03/16/1993
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 SexPrefer Not To Disclose
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