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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. OSCILLATING SAW BLADE STRYKER® SYSTEM 6; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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ZIMMER SURGICAL, INC. OSCILLATING SAW BLADE STRYKER® SYSTEM 6; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Model Number N/A
Device Problems Fracture (1260); Component Missing (2306)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 04/24/2019
Event Type  malfunction  
Manufacturer Narrative
This event has been recorded by zimmer biomet under (b)(4).The investigation is still in progress.Once the investigation is complete a follow up mdr will be submitted.
 
Event Description
It was reported that the pin fell out causing the screw to be loose.Saw blade was broken.No surgical delay happen.No adverse events were reported as a result of this malfunction.
 
Manufacturer Narrative
This event has been recorded by zimmer biomet under (b)(4).The device history record (dhr) for the oscillating saw blade strykerâ® system 6, part number 562710601, review could not be performed as a lot number was not provided for the reported event.On (b)(6) 2019, it was reported from (b)(6) that an oscillating saw blade strykerâ® system 6 had the pin fall out causing the screw to be loose.The saw blade was broken.A returned product investigation could not be performed for the reported event due to the product not being returned for evaluation.The reported event can, therefore, not be confirmed.The root cause of the reported event cannot be specifically determined with the provided information because the product was not returned for evaluation.The investigation was based on the information that was provided initially and any information that was obtained throughout the follow-up process.
 
Event Description
No additional event information.
 
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Brand Name
OSCILLATING SAW BLADE STRYKER® SYSTEM 6
Type of Device
BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL
Manufacturer (Section D)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
MDR Report Key8634232
MDR Text Key145938674
Report Number0001526350-2019-00390
Device Sequence Number1
Product Code GFA
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 06/17/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/22/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number562710601
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received06/17/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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