FDA Adverse Event Malfunction Summary report: N

EMAX 2 PLUS MOTOR

MDR report key: 3170463 · Received June 14, 2013

Report

Report Number
1045834-2013-02460
Event Type
Malfunction
Date Received
June 14, 2013
Report Date
May 22, 2013
Manufacturer
DEPUY SYNTHES POWER TOOLS
Product Code
HBC
PMA / PMN Number
K080802
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE HAS BEEN RETURNED. RELIABILITY ENGINEERING EVALUATED THE DEVICE. THE REPORTED CONDITION COULD NOT BE DUPLICATED OR CONFIRMED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SENT ACCORDINGLY. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING PRE-CHECK THE HAND PIECE DEVICE WAS "OVERHEATING". THE REPORTER STATED THAT A SPARE DEVICE WAS AVAILABLE AND THERE WERE NO DELAYS IN THE SCHEDULED SURGERIES. THE DATE OF THE EVENT WAS UNKNOWN. NO PATIENT HARM, ADVERSE OUTCOME OR INJURY WAS ALLEGED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED ACCORDINGLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
270587 EMAX 2 PLUS MOTOR MOTOR, DRILL, ELECTRIC - HAND PIECE HBC DEPUY SYNTHES POWER TOOLS

Patients

Seq Age Sex Outcome Treatment
1