FDA Adverse Event Malfunction Summary report: N

EMAX 2 MOTOR

MDR report key: 3130497 · Received May 24, 2013

Report

Report Number
1045834-2013-02205
Event Type
Malfunction
Date Received
May 24, 2013
Date of Event
April 30, 2013
Report Date
April 30, 2013
Manufacturer
DEPUY SYNTHES POWER TOOLS
Product Code
HBC
PMA / PMN Number
K011444
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MOTOR DEVICE WAS RECEIVED FOR EVALUATION. THE MOTOR DEVICE WAS TESTED AND THE REPORTED CONDITION WAS DUPLICATED. EVIDENCE INDICATED THIS WAS DUE TO USAGE WEAR OVER TIME. THE REPORTED CONDITION WAS CONFIRMED. IF ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SENT. (B)(4).

Description of Event or Problem · 1

REPORT RECEIVED FROM THE USA REGARDING A MOTOR DEVICE IN WHICH, DURING ROUTINE MAINTENANCE, IT WAS DISCOVERED THAT THE DEVICE WAS "RUNNING HOT TO THE TOUCH". THE MOTOR DEVICE WAS NOT USED IN SURGERY. NO INJURIES OR MEDICAL INTERVENTION WERE REPORTED. NO ADDITIONAL INFORMATION WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
232647 EMAX 2 MOTOR MOTOR, DRILL, ELECTRIC- HANDPIECE HBC DEPUY SYNTHES POWER TOOLS

Patients

Seq Age Sex Outcome Treatment
1