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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. Z.S.G.M. CUTTER 1.5:1 RATIO ( CAUTION: SHARP ); EXPANDER, SURGICAL, SKIN GRAFT

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ZIMMER SURGICAL, INC. Z.S.G.M. CUTTER 1.5:1 RATIO ( CAUTION: SHARP ); EXPANDER, SURGICAL, SKIN GRAFT Back to Search Results
Catalog Number 00770301500
Medical Device Problem Code Difficult to Open or Close (2921)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 01/16/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This complaint is recorded by zimmer biomet under (b)(4).Review of the most recent repair record determined the cutter failed the test cut.Review of the device history record identified no deviations or anomalies during manufacturing.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.G2 country: canada.
 
Event or Problem Description
It was reported that during an unknown time, they were unable to open the unit to remove the cutter/plastic.During product evaluation, it was found that the cutter failed the test cut.There was no information available regarding the patient impact.Due diligence is complete; no further information is available.
 
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Brand Name
Z.S.G.M. CUTTER 1.5:1 RATIO ( CAUTION: SHARP )
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 Key22576606
Report Number0001526350-2025-00985
Device Sequence Number9647269
Product Code FZW
UDI-Device Identifier00889024375444
UDI-Public(01)00889024375444(11)230405(10)66016242
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
PREAMENDMENT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/23/2025
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 Number00770301500
Device Lot Number66016242
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/12/2025
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 07/17/2025
Initial Report FDA Received Date07/23/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/13/2023
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
Concomitant Medical Products
and Therapy/Usage Dates
CUTTER 2:1PN 00770302000LN 66886635SN 1521938
Patient SexUnknown
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