FDA Adverse Event Malfunction Summary report: N

EPD 60000 RPM

MDR report key: 3242397 · Received July 23, 2013

Report

Report Number
2520274-2013-04530
Event Type
Malfunction
Date Received
July 23, 2013
Date of Event
July 2, 2013
Report Date
July 2, 2013
Manufacturer
SYNTHES USA
Product Code
HWE
PMA / PMN Number
K043310
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: THE BATTERY HANDPIECE WAS NOT WORKING DURING A PROCEDURE ON (B)(6) 2013. THE CABLE AND ATTACHMENTS WERE TESTED SEPARATELY AND FOUND TO BE FUNCTIONING AS NORMAL. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
342907 EPD 60000 RPM HWE SYNTHES USA SER.NR. 1523

Patients

Seq Age Sex Outcome Treatment
1