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U.S. Department of Health and Human Services

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

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ZIMMER SURGICAL SA X-SERIES RECIPROCATING SAW ATTACH; SURGICAL POWER TOOL Back to Search Results
Catalog Number 89-8522-450-20
Medical Device Problem Code Mechanical Jam (2983)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/20/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2 ¿ foreign ¿ italy.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 the reciprocating saw attachment stopped suddenly.No consequences or impact to the patient.Due diligence is in progress for this complaint; to date no additional information or product has been received.
 
Event or Problem Description
No further event information available at the time of this report.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional and/or corrected information.The following sections were updated: b4, b5, d9, g1, g3, g6, h1, h2, h3, h4, h6, h11.The following section was corrected: d4 (primary unique device identification (udi) number).No product was returned or pictures provided; visual and dimensional evaluations could not be performed.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 complaints for the reported part and serial combination.Complaints are monitored through monthly complaint review in order to identify potential adverse trends.A definitive root cause cannot be determined.The event cannot be 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.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Review of the most recent repair record identified no repairs related to the reported event.A definitive root cause cannot be determined as there was no problem found.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
SURGICAL POWER TOOL
Manufacturer (Section D)
ZIMMER SURGICAL SA
3, ch. du pre fleuri
1228 plan-les-ouates
geneva
Manufacturer (Section G)
ZIMMER SURGICAL SA
3, ch. du pre fleuri
1228 plan-les-ouates
geneva
Manufacturer Contact
jennifer rapsavage
56 e. bell drive
warsaw, IN 46582
5745260384
MDR Report Key21362842
Report Number0008031000-2025-00027
Device Sequence Number8590571
Product Code GEY
UDI-Device Identifier00889024521315
UDI-Public(01)00889024521315(11)220523(10)5016736
Combination Product (Y/N)N
Initial Reporter CountryIT
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 Nurse
Type of Report Initial,Followup,Followup
Report Date (Section B) 01/09/2026
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 Catalogue Number89-8522-450-20
Device Lot Number5016736
Was Device Available for Evaluation? Device Returned to Manufacturer
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 01/20/2025
Supplement Date Received by Manufacturer07/09/2025
01/06/2026
Initial Report FDA Received Date02/12/2025
Supplement Report FDA Received Date07/10/2025
01/09/2026
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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