| Brand Name | ASEPTIC TRANSFER KIT HOUSING |
| Common Device Name | Surgical power tool battery-exchange sterility cover |
| 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
|
|
+1(574)526-0384
|
|
| MDR Report Key | 50206156 |
| Report Number | 0008031000-2026-00047 |
| Device Sequence Number | 12142944 |
| Product Code |
MOQ
|
| UDI-Device Identifier | 00889024355149 |
| UDI-Public | (01)00889024355149(11)220906(10)5017247 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | PL |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/11/2026 |
| 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 | 5017247 |
| Was Device Available for Evaluation? |
Yes
|
| 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 | 07/30/2026 |
| Initial Report FDA Received Date | 08/11/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 09/06/2022 |
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |