BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EMAX 2 PLUS MOTOR

    MDR report key: 3811240 · Received October 11, 2013

    Report

    Report Number
    1045834-2013-05092
    Event Type
    Malfunction
    Date Received
    October 11, 2013
    Date of Event
    September 17, 2012
    Report Date
    September 17, 2012
    Manufacturer
    DEPUY SYNTHES POWER TOOLS
    Product Code
    HBC
    PMA / PMN Number
    K080802
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS REC'D BY DEPUY SYNTHES POWER TOOLS. THE INVESTIGATION IS STILL IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED OR IF ADD'L INFO IS REC'D, A SUPPLEMENTAL REPORT WILL BE SENT. REF: (B)(4).

    Description of Event or Problem · 1

    REPORT REC'D FROM THE USA STATING THAT THE DEVICE WAS HEATING UP. THE DEVICE WAS BEING USED DURING EAR SURGERY, BUT THERE WAS NO INJURY OR MEDICAL INTERVENTION. IT IS UNK IF THERE WAS A DELAY IN SURGERY. THERE WAS NO ADD'L INFO PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    524109 EMAX 2 PLUS MOTOR MOTOR, DRILL, ELECTRIC - HANDPIECE, PRODUCT CODE: HBC HBC DEPUY SYNTHES POWER TOOLS

    Patients

    Seq Age Sex Outcome Treatment
    1