FDA Adverse Event Malfunction Summary report: N

COMPACT AIR DRIVE II

MDR report key: 3812655 · Received May 15, 2014

Report

Report Number
8030965-2014-10245
Event Type
Malfunction
Date Received
May 15, 2014
Date of Event
April 23, 2014
Report Date
April 23, 2014
Manufacturer
SYNTHES OBERDORF
Product Code
HBB
PMA / PMN Number
PK971544
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NE, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE WAS RETURNED FOR EVALUATION. RELIABILITY ENGINEERING EVALUATED THE DEVICE. THE DEVICE FAILED THE TORQUE TEST. THEREFORE, THE REPORTED CONDITIONS WERE CONFIRMED. THE ASSIGNABLE ROOT CAUSE WAS DETERMINED TO BE DUE TO MECHANICAL COMPONENTS DAMAGED FROM NORMAL USE OVER TIME. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, IT WAS DISCOVERED THAT THE COMPACT AIR DRIVE DEVICE HAD A ¿STICKY TRIGGER¿ AND WOULD RUN EVEN AFTER THE TRIGGER HAD BEEN RELEASED. THE REPORT FURTHER INDICATED THAT THE DEVICE FELT LIKE THERE WAS NOT ENOUGH POWER "WHEN REAMING". THERE WAS A TEN MINUTE DELAY TO THE PLANNED SURGICAL PROCEDURE. A SPARE DEVICE WAS AVAILABLE FOR USE. THERE WERE NO REPORTS OF INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION. 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
291258 COMPACT AIR DRIVE II MOTOR, DRILL, PNEUMATIC HBB SYNTHES OBERDORF 23798

Patients

Seq Age Sex Outcome Treatment
1