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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. ZIMMER® S.G. CARRIER 8 IN LENGTH; EXPANDER, SURGICAL, SKIN GRAFT

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ZIMMER SURGICAL, INC. ZIMMER® S.G. CARRIER 8 IN LENGTH; EXPANDER, SURGICAL, SKIN GRAFT Back to Search Results
Catalog Number 00770800010
Medical Device Problem Code Delivered as Unsterile Product (1421)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/24/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
An investigation into the reported event has been initiated under (b)(4).Once the investigation has been completed, a follow up report will be submitted with the investigation results and any actions taken by the manufacturer.E1 telephone number: (b)(6).G2 country: japa.
 
Event or Problem Description
It was reported that during inspection there was hair-like substance in the packaging.There was no patient involvement.Due diligence is complete and there is no additional information available.
 
Additional Manufacturer Narrative
This event has been recorded by zimmer biomet under: (b)(4).Upon receipt of additional information, it has been determined that this device did not cause or contribute to a serious injury and has not been previously reported as a serious injury.The initial report was forwarded in error and should be voided.Packaging was conforming and met specifications.
 
Event or Problem Description
Upon receipt of additional information, it has been determined that this device did not cause or contribute to a serious injury and has not been previously reported as a serious injury.The initial report was forwarded in error and should be voided.Packaging was conforming and met specifications.
 
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Brand Name
ZIMMER® S.G. CARRIER 8 IN LENGTH
Common Device Name
EXPANDER, SURGICAL, SKIN GRAFT
Manufacturer (Section D)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
Manufacturer (Section G)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
Manufacturer Contact
jennifer rapsavage
56 e. bell drive
warsaw, IN 46582
5745260384
MDR Report Key21171985
Report Number0001526350-2025-00058
Device Sequence Number19896522
Product Code FZW
UDI-Device Identifier00889024380165
UDI-Public(01)00889024380165(17)291106(10)79704144
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
PREAMENDMENT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 06/24/2025
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 Catalogue Number00770800010
Device Lot Number79704144
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/25/2024
Supplement Date Received by Manufacturer06/23/2025
Initial Report FDA Received Date01/16/2025
Supplement Report FDA Received Date06/24/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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