| 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 Key | 23632430 |
| Report Number | 0001526350-2025-01498 |
| Device Sequence Number | 15787073 |
| Product Code |
FZW
|
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | PREAMENDMENT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup,Followup |
| Report Date (Section B) |
09/29/2026 |
| 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 Number | 00219500100 |
| Device Lot Number | 64370998 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 11/19/2025 |
| Supplement Date Received by Manufacturer | 06/10/2026 09/29/2026
|
| Initial Report FDA Received Date | 11/24/2025 |
| Supplement Report FDA Received Date | 06/10/2026 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/03/2019 |
| 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 Number | 1 |
| Patient Sex | Unknown |