| Brand Name | DUO FLUID CART WITH POWER IV |
| Common Device Name | APPARATUS, SUCTION, WARD USE, PORTABLE, AC-POWERED |
| 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 | 23981397 |
| Report Number | 0001526350-2026-00020 |
| Device Sequence Number | 13413306 |
| Product Code |
JCX
|
| Combination Product (Y/N) | N |
| Initial Reporter State | AZ |
| Initial Reporter Country | US |
| PMA/510(K) Number | K190789 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/15/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 00514010300 |
| Device Lot Number | 46726 |
| Was Device Available for Evaluation? |
No
|
| 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 | 12/15/2025 |
| Supplement Date Received by Manufacturer | 06/25/2026
|
| Initial Report FDA Received Date | 01/06/2026 |
| Supplement Report FDA Received Date | 07/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 03/03/2022 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|