inforMED
InjuryDWH

HALL - ZIMMER

Received Mar 23, 1999 · Event occurred Mar 10, 1999

Report 215866 · MDR key 215866

Device

Generic name

Series 4 Oscillator

Model number

506702

Catalog number

*

Lot number

*

Product problems

  • Unintended Power Up
  • Self-Activation or Keying
  • Use of Device Problem

Patient

75 YR

  • Laceration(s)

Narrative

Description of Event or Problem

OSCILLATING SAW USED DURING CORONARY BYPASS PROCEDURE WAS LAYING ON STERILE FIELD ON PT. SAFETY BUTTON WAS NOT ON. WHEN AIR HOSE WAS ATTACHED THE SAW BEGAN TO OSCILLATE WITHOUT THE TRIGGER BEING DEPRESSED. THE SAW STRUCK PT ON THE LEFT MID CALF PRODUCING A 1 - 1 1/2 INCH LACERATION.