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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. MESHGRAFT II INSTRUMENT ONLY; EXPANDER, SURGICAL, SKIN GRAFT

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ZIMMER SURGICAL, INC. MESHGRAFT II INSTRUMENT ONLY; EXPANDER, SURGICAL, SKIN GRAFT Back to Search Results
Catalog Number 00219500100
Medical Device Problem Code Failure to Cut (2587)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/13/2025
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: japan.
 
Event or Problem Description
It was reported that during surgery the device cannot mesh properly.There was no patient impact or delay.The taken graft was damaged but an additional graft was not needed.Another device was utilized to complete the procedure.Due diligence is complete and there is no additional information available.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d4, e1 (telephone number), g3, g6, h2, h3, h4, h6, h11.Corrected: e2, e3.Review of the most recent repair record determined the unit would not mesh properly as the device failed the test mesh during repair.The cutter and side plate were replaced and resolved the reported issue.The device history record was reviewed and no discrepancies relevant to the reported event were found.Root cause has been identified as component failure as the device exhibits wear and tear from repeated use.Complaint can be confirmed through the returned product analysis.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 additional event information.
 
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Brand Name
MESHGRAFT II INSTRUMENT ONLY
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 Key22378567
Report Number0001526350-2025-00847
Device Sequence Number8560636
Product Code FZW
UDI-Device Identifier00889024372535
UDI-Public(01)00889024372535(11)180406(10)63985049
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,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 11/19/2025
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 Number00219500100
Device Lot Number63985049
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/17/2025
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 06/16/2025
Supplement Date Received by Manufacturer11/13/2025
Initial Report FDA Received Date07/01/2025
Supplement Report FDA Received Date11/19/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/06/2018
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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