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 |