| Brand Name | UNIVERSAL ASEPTIC TRANSFER KIT HOUSING |
| Common Device Name | SURGICAL POWER TOOL |
| Manufacturer (Section D) |
| ZIMMER SURGICAL SA |
| 3, ch. du pre fleuri |
| 1228 plan-les-ouates |
| geneva CH-12 28 |
| SZ CH-1228 |
|
| Manufacturer (Section G) |
| ZIMMER SURGICAL SA |
| 3, ch. du pre fleuri |
| 1228 plan-les-ouates |
| geneva CH-12 28 |
|
SZ
CH-1228
|
|
| Manufacturer Contact |
|
jennifer
rapsavage
|
| 56 e. bell drive |
| warsaw, IN 46582
|
|
5745260384
|
|
| MDR Report Key | 24753169 |
| Report Number | 0008031000-2026-00027 |
| Device Sequence Number | 15979700 |
| Product Code |
MOQ
|
| UDI-Device Identifier | 00889024355149 |
| UDI-Public | (01)00889024355149(11)230613(10)5018799 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| 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 |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/22/2026 |
| 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 | 89-8510-440-10 |
| Device Lot Number | 5018799 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 03/17/2026 |
| 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 | 03/09/2026 |
| Supplement Date Received by Manufacturer | 06/19/2026
|
| Initial Report FDA Received Date | 04/01/2026 |
| Supplement Report FDA Received Date | 06/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 06/13/2023 |
| 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 Number | 1 |
| Patient Sex | Unknown |