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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL SA STERILIZABLE BATTERY; RECHARGEABLE BATTERY PACK

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ZIMMER SURGICAL SA STERILIZABLE BATTERY; RECHARGEABLE BATTERY PACK Back to Search Results
Model Number N/A
Medical Device Problem Code Battery Problem (2885)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2 ¿ foreign ¿ canada.Upon receipt, the battery gave error code 85 and had no power due to overheating.A definitive root cause cannot be determined.Device is used for treatment.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 or Problem Description
It was reported that the battery did not provide power due to overheating.This event is related to a malfunction that could potentially lead to a sterility issue/serious injury.However, no patient harm or further outcome was reported.
 
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Brand Name
STERILIZABLE BATTERY
Common Device Name
RECHARGEABLE BATTERY PACK
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 Key18622028
Report Number0008031000-2024-00040
Device Sequence Number2441181
Product Code MOQ
UDI-Device Identifier00889024581722
UDI-Public(01)00889024581722(11)210422(10)MO21272-2/202104
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 02/01/2024
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 Number89-8521-470-20
Device Lot NumberMO21272-2/202104
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/09/2023
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 01/30/2024
Initial Report FDA Received Date02/01/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/22/2021
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 Reuse
Patient Sequence Number1
Patient SexPrefer Not To Disclose
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