FDA Adverse Event Malfunction Summary report: N

SMALL BATTERY DRIVE

MDR report key: 2991335 · Received March 6, 2013

Report

Report Number
8030965-2013-00755
Event Type
Malfunction
Date Received
March 6, 2013
Date of Event
February 6, 2013
Report Date
February 6, 2013
Manufacturer
SYNTHES GMBH
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS. RELIABILITY ENGINEERING EVALUATED THE DEVICE, AND THE REPORTED PROBLEM WAS CONFIRMED DURING TESTING. THE UNIT EXHIBITED DAMAGE TO THE MOTOR - ECU THAT WAS CONSISTENT WITH IMMERSION IN WATER. THIS CONDITION IS INDICATIVE OF IMPROPER CLEANING OF THE DEVICE. WE RECOMMEND THAT THE USER REVIEW THE CLEANING AND MAINTENANCE PROCEDURES FOR THE DEVICE. PROPER CLEANING AND MAINTENANCE ARE REQUIRED IN ORDER TO ENSURE TROUBLE-FREE OPERATION.

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. SUBJECT DEVICE HAS BEEN RECEIVED AND IS CURRENTLY IN THE EVALUATION PROCESS. INVESTIGATION IS ON GOING. A MANUFACTURING AND/OR PRODUCT INVESTIGATION COULD NOT BE PERFORMED AS NO PRODUCT WAS RECEIVED. A REVIEW OF THE DEVICE HISTORY RECORD REVEALED NO COMPLAINT RELATED ANOMALIES. PLACEHOLDER.

Description of Event or Problem · 1

ON (B)(6) 2013, WHEN THE BATTERY WAS INSERTED INTO THE SMALL BATTERY DRIVE, IT SPUN WITHOUT BEING TRIGGERED. THE PRODUCT WAS NOT USED IN SURGERY. THERE WAS NO PATIENT INVOLVEMENT AND NO HARM TO USER REPORTED.

Description of Event or Problem · 1

THIS IS 1 OF 1 REPORT FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
96200 SMALL BATTERY DRIVE HWE SYNTHES GMBH 001964

Patients

Seq Age Sex Outcome Treatment
1