HAND PIECE FOR BATTERY POWERED DRIVER
Report
- Report Number
- 8030965-2026-04789
- Event Type
- Malfunction
- Date Received
- May 20, 2026
- Date of Event
- January 1, 2026
- Manufacturer
- SYNTHES GMBH
- Product Code
- HWE
- UDI-DI
- 7611819890084
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
PRODUCT COMPLAINT # (B)(4) THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803 (AND/OR PART 4, AS APPLICABLE). THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. ADDITIONAL NARRATIVE: H3, H6: SERVICE AND REPAIR EVALUATION: THE CUSTOMER REPORTED PROBLEM REPORTED MOTOR MALFUNCTION. THE REPAIR TECHNICIAN REPORTED THERE WAS FOREIGN SUBSTANCE/DEBRIS/CLEANING/STERILIZATION ON PROTECTOR/ SHIELD AND HOUSING, MOTOR WAS RUNNING LOW OR INSUFFICIENTLY, ELECTRICAL CABLE WAS CORD DAMAGED. THE CAUSE OF THE ISSUE IS USER ERROR. THE ITEM WILL BE REPAIRED, PUT THROUGH FINAL INSPECTION, AND WILL BE RETURNED TO THE CUSTOMER UPON COMPLETION OF THE SERVICE AND REPAIR PROCESS. FINALIZED SERVICE RECORD WILL BE ARCHIVED. THE EVALUATION WAS CONFIRMED. THE DEVICE WAS DEEMED SERVICEABLE AND WILL BE RETURNED TO THE CUSTOMER, NO DESIGN OR MANUFACTURING ISSUES WERE IDENTIFIED THEREFORE IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. DEVICE HISTORY LOT PART: 05.000.008 SYNTHES LOT: 5744464 SUPPLIER LOT: 001932 RELEASE TO WAREHOUSE DATE: 21 MARCH 2008 SUPPLIER: (B)(4). NO NONCONFORMANCE REPORTS (NCRS) WERE GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORD(S) SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THIS PRODUCT, AND ANY SUB-COMPONENTS, WHICH WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION.
IT WAS REPORTED THAT THE DEVICE HAD A MOTOR MALFUNCTION. THERE WAS NO PATIENT INVOLVEMENT. THERE WERE NO REPORTS OF INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 559995 | HAND PIECE FOR BATTERY POWERED DRIVER | INSTR,SURGICAL,ORTHOPEDIC,AC- POWERED MOTOR/ACCESS & ATTACH | HWE | SYNTHES GMBH | 001932 | 7611819890084 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |