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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. HANDPIECE, ELECTRIC DERMATOME; DERMATOME HANDPIECE, ELECTRICALLY-POWERED

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ZIMMER SURGICAL, INC. HANDPIECE, ELECTRIC DERMATOME; DERMATOME HANDPIECE, ELECTRICALLY-POWERED Back to Search Results
Catalog Number 00882100100
Device Problem Mechanical Jam (2983)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/01/2023
Event Type  malfunction  
Manufacturer Narrative
This event is recorded by zimmer biomet under (b)(4).Review of the most recent repair record determined no jamming was noted; however, the motor was corroded and ran below specification.The motor was replaced to resolve the 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.G2, country event occurred in: (b)(6).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 during testing prior to surgery, that the unit was jamming frequently.There was no reported harm, injury, or delay as there was no patient involvement.Due diligence is complete.No additional information is available.After evaluation of the returned device, it was observed that the device had inconsistent speed.No adverse event reported.
 
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Brand Name
HANDPIECE, ELECTRIC DERMATOME
Type of Device
DERMATOME HANDPIECE, ELECTRICALLY-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 Key17975871
MDR Text Key326156085
Report Number0001526350-2023-01373
Device Sequence Number1
Product Code GFD
Combination Product (y/n)N
Reporter Country CodeMT
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Distributor
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 10/20/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/20/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number00882100100
Device Lot Number60615584
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/11/2023
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received10/19/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/21/2006
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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