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