FDA Adverse Event Malfunction Summary report: N

OSCILLATING BONE SAW DOUBLE HOSE CONNECTOR

MDR report key: 3920187 · Received July 8, 2014

Report

Report Number
8030965-2014-00417
Event Type
Malfunction
Date Received
July 8, 2014
Report Date
January 16, 2013
Manufacturer
SYNTHES GMBH
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO SYNTHES (B)(4) AND REPAIR FILES LEGACY REVIEW/REMEDIATION PROTOCOL-COMPLAINT HANDLING AND MDR REPORTING. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. DURING PRE-REPAIR ASSESSMENT PERFORMED BY TECHNICIAN, FUNCTIONAL TESTING WAS PERFORMED AND REVEALED THE POWER WAS LOW. THIS WAS CONTRIBUTED TO NORMAL WEAR. UNIT WAS REPAIRED AND RETURNED ON (B)(6) 2013. PLACEHOLDER.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT DURING AN OPERATION THERE WAS A LACK OF POWER WITH THE DEVICE. THIS IS 1 OF 1 REPORT FOR #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
397479 OSCILLATING BONE SAW DOUBLE HOSE CONNECTOR HWE SYNTHES GMBH 8090

Patients

Seq Age Sex Outcome Treatment
1