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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL SA UNIVERSAL COMPACT BATTERY CHARGER; EXTERNAL DEVICE BATTERY CHARGER

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ZIMMER SURGICAL SA UNIVERSAL COMPACT BATTERY CHARGER; EXTERNAL DEVICE BATTERY CHARGER Back to Search Results
Model Number N/A
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 07/12/2022
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a failure of the battery charger occurred causing the batteries to become warm during charging and not fully charge.This event is related to a malfunction that could potentially lead to a serious injury.However, no patient harm or further outcome has been reported.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
Additional Manufacturer Narrative
(b)(4).Foreign source: poland.Investigation of this incident is currently ongoing.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Additional Manufacturer Narrative
(b)(4).Upon review of this complaint from an investigation perspective, it is considered that the compact battery charger within this complaint does not impact the reported event of the battery failure.Upon reassessment of the reported event, this report should be voided.Given the above information this medwatch will be voided.
 
Event or Problem Description
Upon review of this complaint from an investigation perspective, it is considered that the compact battery charger within this complaint does not impact the reported event of the battery failure.Upon reassessment of the reported event, this report should be voided.
 
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Brand Name
UNIVERSAL COMPACT BATTERY CHARGER
Common Device Name
EXTERNAL DEVICE BATTERY CHARGER
Manufacturer (Section D)
ZIMMER SURGICAL SA
3, ch. du pre fleuri
1228 plan-les-ouates
geneva CH-12 28
SZ  CH-1228
Manufacturer (Section G)
ZIMMER SURGICAL SA
3, ch. du pre fleuri
1228 plan-les-ouates
geneva CH-12 28
SZ   CH-1228
Manufacturer Contact
christina arnt
56 e. bell drive
warsaw, IN 46582
5745273773
MDR Report Key15257180
Report Number0008031000-2022-00025
Device Sequence Number20501448
Product Code MOQ
UDI-Device Identifier00889024355125
UDI-Public(01)00889024355125(11)190214(10)5012103
Combination Product (Y/N)N
Initial Reporter CountryPL
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 10/12/2022
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
Operator of Device Health Professional
Device Model NumberN/A
Device Catalogue Number89-8510-421-00
Device Lot Number5012103
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/12/2022
Supplement Date Received by Manufacturer09/28/2022
Initial Report FDA Received Date08/19/2022
Supplement Report FDA Received Date10/12/2022
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/14/2019
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
N/A
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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