FDA Adverse Event Malfunction Summary report: N

OSCILLATING SAW ATTCHMT/LARGE W/KEY FOR SMALL BATTERY DRIVE

MDR report key: 3132420 · Received May 29, 2013

Report

Report Number
8030965-2013-02358
Event Type
Malfunction
Date Received
May 29, 2013
Date of Event
February 7, 2013
Report Date
February 8, 2013
Manufacturer
SYNTHES GMBH
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. THE MANUFACTURING DOCUMENTS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND.

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. DEVICE WAS RECEIVED FOR EVALUATION. INVESTIGATION COORDINATED BY SYNTHES (B)(4). REPORT RECEIVED INDICATES THE REPORTERS COMPLAINT OF INTERMITTENT OPERATION WAS CONFIRMED. THE OSCILLATING SAW ATTACHMENT WAS TESTED AND THE COMPLAINT WAS DUPLICATED. EVIDENCE INDICATES THIS IS DUE TO USAGE WEAR OVER TIME. PLACEHOLDER.

Additional Manufacturer Narrative · 1

A SERVICE HISTORY OF THE PAST SIX MONTHS HAS BEEN REVIEWED. NO SERVICE HISTORY REVIEW CAN BE PERFORMED. THE ITEM HAS NOT PREVIOUSLY BEEN SENT IN FOR SERVICE. THERE IS NO INFORMATION RELEVANT TO THE CURRENT COMPLAINED ISSUE. (B)(6).

Description of Event or Problem · 1

IT WAS REPORTED FROM A VETERINARY FACILITY, DURING A TIBIAL PLATEAU LEVELING OSTEOTOMY (TPLO) ON (B)(6) 2013, THE OSCILLATING SAW ATTACHMENT WAS RUNNING INTERMITTENTLY AND LEAKING A BROWNISH FLUID. THE SURGEON WAS ABLE TO USE ANOTHER SAW ATTACHMENT TO COMPLETE THE PROCEDURE. IT WAS ALSO REPORTED THERE WAS NO ADVERSE EVENT TO ANIMAL. THIS REPORT IS FOR A OSCILLATING SAW ATTCHMT/LARGE W/KEY FOR SMALL BATTERY DRIVE. THIS IS 1 OF 1 DEVICE FOR THIS EVENT REPORTED ON COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
235054 OSCILLATING SAW ATTCHMT/LARGE W/KEY FOR SMALL BATTERY DRIVE HWE SYNTHES GMBH 1222-R

Patients

Seq Age Sex Outcome Treatment
1