MESHGRAFT II COMPLETE 00-2195-000-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,08 report with the FDA on 2012-10-03 for MESHGRAFT II COMPLETE 00-2195-000-00 manufactured by Zimmer Surgical.

Event Text Entries

[3069093] It was reported that the zimmer meshgraft ii was not meshing uniformly. Additional clinical follow up with the hospital indicated that the graft was? Partially meshed?. The initial graft was used and there was no report of additional harvest, increased surgical time, or medical intervention.
Patient Sequence No: 1, Text Type: D, B5


[10212986] The device was returned to the manufacturer for repair and evaluation. The service record indicates that the device is 18 years old and was last returned to the manufacturer for repair on (b)(4) 1997. Inspection of the device displayed a damaged roller and cutter. Prior to repair, unit was in calibration. Damage to these components could have caused the customer? S event. The cause is most likely due to the user not maintaining the device per preventive maintenance and handling according to the instructions for use. The meshgraft ii tissue expansion system should be returned every 12 months for inspection and preventive maintenance. Annual factory calibration checks are strongly recommended to verify continued accuracy. The device was serviced and returned to the customer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1526350-2012-00243
MDR Report Key2776642
Report Source05,08
Date Received2012-10-03
Date of Report2012-09-06
Date of Event2012-09-01
Date Mfgr Received2012-09-06
Device Manufacturer Date1994-01-01
Date Added to Maude2013-01-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCINDY DICKEY
Manufacturer Street200 WEST OHIO AVE.
Manufacturer CityDOVER OH 44622
Manufacturer CountryUS
Manufacturer Postal44622
Manufacturer Phone3303438801
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMESHGRAFT II COMPLETE
Generic NameMESHGRAFT II COMPLETE
Product CodeFXQ
Date Received2012-10-03
Returned To Mfg2012-09-13
Model NumberNA
Catalog Number00-2195-000-00
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerZIMMER SURGICAL
Manufacturer Address200 WEST OHIO AVE. DOVER OH 44622 US 44622


Patients

Patient NumberTreatmentOutcomeDate
10 2012-10-03

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