Brand Name | ELECTRIC DERMATOME HANDPIECE |
Type of Device | ELECTRIC DERMATOME HANDPIECE |
Manufacturer (Section D) |
ZIMMER SURGICAL |
200 west ohio ave. |
dover OH 44622 |
|
Manufacturer Contact |
kathleen
smith
|
200 west ohio ave. |
dover, OH 44622
|
3303438801
|
|
MDR Report Key | 3784385 |
MDR Text Key | 4439585 |
Report Number | 1526350-2014-00020 |
Device Sequence Number | 1 |
Product Code |
GFD
|
Combination Product (y/n) | N |
Reporter Country Code | AS |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Company Representative |
Reporter Occupation |
Unknown
|
Type of Report
| Initial |
Report Date |
12/17/2013 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 00-8821-001-00 |
Was Device Available for Evaluation? |
Yes
|
Date Returned to Manufacturer | 01/04/2014 |
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
12/17/2013
|
Initial Date FDA Received | 01/16/2014 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 03/01/2005 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Treatment | ZIMMER ELECTRIC DERMATOME POWER SUPPLY; 00-8821-006-00, SN# (B)(4) |