FDA Adverse Event
Malfunction
Summary report: N
BATT-HANDPIECE MOD F/TRS
MDR report key: 3083339
·
Received April 29, 2013
Report
- Report Number
- 8030965-2013-02025
- Event Type
- Malfunction
- Date Received
- April 29, 2013
- Report Date
- March 8, 2013
- Manufacturer
- SYNTHES GMBH
- Product Code
- GEY
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SZ
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE MANUFACTURING DOCUMENTS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND. PLACEHOLDER.
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. DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER. A REVIEW OF THE DEVICE HISTORY RECORDS HAS BEEN REQUESTED.
Description of Event or Problem · 1
DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: THE BUTTONS ON THE BATTERY HANDPIECE/MODULAR ARE FUNCTIONLESS. THE DEVICE WAS RETURNED TO THE CUSTOMER AFTER REPAIR. NO FURTHER INFORMATION WAS PROVIDED. THIS IS 1 OF 1 REPORT FOR COMPLAINT #(B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 183299 | BATT-HANDPIECE MOD F/TRS | GEY | SYNTHES GMBH | SER. NO. 6388 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |