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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL SA X-SERIES RECIPROCATING SAW ATTACH; SAWING POWER TOOL ATTACHMENT, RECIPROCATING

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ZIMMER SURGICAL SA X-SERIES RECIPROCATING SAW ATTACH; SAWING POWER TOOL ATTACHMENT, RECIPROCATING Back to Search Results
Model Number N/A
Medical Device Problem Codes Overheating of Device (1437); Mechanical Jam (2983)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/17/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2 ¿ foreign ¿ spain.Investigation of this incident is currently ongoing.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event or Problem Description
It was reported that during surgery the reciprocating saw overheated and stopped suddenly during use.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional and/or corrected information.Review of the most recent checklist determined this device failed the rotation check due to the locking mechanism not moving when the drive is turned.The device was scrapped.Review of the device history record identified no deviations or anomalies during manufacturing.Review of complaint history identified additional similar complaints for the reported item and no additional similar complaints for the reported part and lot combination.Complaints are monitored through monthly complaint review in order to identify potential adverse trends.A definitive root cause cannot be determined.The event is confirmed.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
No further event information available at the time of this report.
 
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Brand Name
X-SERIES RECIPROCATING SAW ATTACH
Common Device Name
SAWING POWER TOOL ATTACHMENT, RECIPROCATING
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 Key20350992
Report Number0008031000-2024-00160
Device Sequence Number18169713
Product Code GEY
UDI-Device Identifier00889024521315
UDI-Public(01)00889024521315(11)220523(10)5016736
Combination Product (Y/N)N
Initial Reporter CountrySP
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 Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 04/10/2025
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 Number89-8522-450-20
Device Lot Number5016736
Was Device Available for Evaluation? Device Returned to Manufacturer
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/17/2024
Supplement Date Received by Manufacturer04/09/2025
Initial Report FDA Received Date10/02/2024
Supplement Report FDA Received Date04/10/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/23/2022
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
Patient Sequence Number1
Patient SexUnknown
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