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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER SURGICAL, INC. OSCILLATING SAW BLADE STRYKER® SYSTEM 6; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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ZIMMER SURGICAL, INC. OSCILLATING SAW BLADE STRYKER® SYSTEM 6; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 506121
Device Problems Break (1069); Crack (1135)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 01/06/2020
Event Type  malfunction  
Manufacturer Narrative
This event has been recorded by zimmer biomet under cmp-(b)(4).The investigation is still in progress.Once the investigation is complete a follow up mdr will be submitted.
 
Event Description
It was reported that the saw blade was broke while using at the point of blade that inserts into the saw and did not result in any harm.Event occurred during surgery.There was a patient involved however there was no harm and no delay.
 
Event Description
No additional event information.
 
Manufacturer Narrative
This event has been recorded by zimmer biomet under (b)(4).Udi #: (b)(4).Concomitant therapy: item#: 25090137, item name: oscillating saw blade, lot#: 341940 the dhr review did not note of any non-conformances, requests for deviation (rfd), change notices (cn), or any other issues with manufacturing related to the reported event.The dhr review found all verifications, inspections, and tests to be successfully completed.On 21 feb 2020, a returned product investigation was performed on the oscillating saw blade strykerâ® system 6.The physical evaluation revealed that the returned blade had a broken hub, damaged teeth and deformation on the edge of the blade.The results of the returned product investigation have confirmed the reported event.While the returned product investigation confirmed that the oscillating saw blade strykerâ® system 6 was broke at the hub, it cannot be determined from the information provided what actually caused the reported event.Therefore, based on the information provided, a specific root cause of the reported event cannot be determined.The investigation was based on the information that was provided initially and any information that was obtained throughout the follow-up process.
 
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Brand Name
OSCILLATING SAW BLADE STRYKER® SYSTEM 6
Type of Device
BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL
Manufacturer (Section D)
ZIMMER SURGICAL, INC.
200 west ohio avenue
dover OH 44622
MDR Report Key9662605
MDR Text Key195279987
Report Number0001526350-2020-00109
Device Sequence Number1
Product Code GFA
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,user faci
Type of Report Initial,Followup
Report Date 03/03/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/03/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date01/31/2022
Device Catalogue Number506121
Device Lot Number262761
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/21/2020
Was the Report Sent to FDA? No
Date Manufacturer Received03/03/2020
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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