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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. FAN SPRAY KIT; LAVAGE, JET

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ZIMMER SURGICAL, INC. FAN SPRAY KIT; LAVAGE, JET Back to Search Results
Catalog Number 00515047500
Medical Device Problem Code Explosion (4006)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/07/2026
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.G2: foreign: event occurred in france.
 
Event or Problem Description
It was reported that outside of surgery, the battery exploded while the device was not in use.The device had not been opened.There was no patient harm/injury or surgical delay as there was no patient involvement.Due diligence is complete; no further information is available.There was no adverse event associated with this malfunction.
 
Additional Manufacturer Narrative
This complaint is recorded by zimmer biomet under (b)(4).This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d2, d4, g1, g3, g6, h1, h2, h3, h4, h5, h6, and h11.The reported event was confirmed by review of pictures.Visual examination of the provided pictures identified the battery had expulsed within the packaging.Review of the device history record identified no deviations or anomalies during manufacturing.Root cause has been identified as manufacturing and design issues.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
There is no additional information regarding the event.
 
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Brand Name
FAN SPRAY KIT
Common Device Name
LAVAGE, JET
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 Key24925496
Report Number0001526350-2026-00467
Device Sequence Number10668015
Product Code FQH
UDI-Device Identifier00889024375154
UDI-Public(01)00889024375154(17)280922(10)87416555
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 06/10/2026
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 Number00515047500
Device Lot Number87416555
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 04/07/2026
Supplement Date Received by Manufacturer06/08/2026
Initial Report FDA Received Date04/20/2026
Supplement Report FDA Received Date06/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/06/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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