FDA Adverse Event Malfunction Summary report: N

CHUCK WITH KEY/DRILL SPEED FOR TRAUMA RECON SYSTEM

MDR report key: 3023916 · Received March 27, 2013

Report

Report Number
2520274-2013-01719
Event Type
Malfunction
Date Received
March 27, 2013
Date of Event
January 7, 2013
Report Date
February 28, 2013
Manufacturer
SYNTHES USA
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED.

Additional Manufacturer Narrative · 1

ADDITIONAL EVALUATION WAS CONDUCTED. THE REPORT INDICATES THE COMPLAINT CLOSED WITHOUT REPORT BECAUSE NO MATERIAL HAS BEEN RETURNED. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT IS REPORTED THAT ON (B)(6) 2013, WHEN THE SURGEON CONNECTED THE BATTERY TO THE TRAUMA RECON SYSTEM IN PRE-OP, WHITE OIL WOULD LEAK WHEN AN ATTACHMENT WAS CONNECTED TO THE MAIN BODY OF THE TRS. THIS IS 3 OF 7 REPORTS FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
127214 CHUCK WITH KEY/DRILL SPEED FOR TRAUMA RECON SYSTEM HWE SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1