FDA Adverse Event Malfunction Summary report: N

BATTERY REAMER/DRILL

MDR report key: 3942308 · Received July 17, 2014

Report

Report Number
8030965-2014-10369
Event Type
Malfunction
Date Received
July 17, 2014
Date of Event
January 8, 2014
Report Date
January 8, 2014
Manufacturer
SYNTHES OBERDORF
Product Code
GEY
PMA / PMN Number
PEXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
SERVICE AND TESTING PERSONNEL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED FOR SERVICE, HOWEVER DID NOT MEET MANUFACTURING SPECIFICATIONS DURING PRE-REPAIR ASSESSMENT. RELIABILITY ENGINEERING EVALUATED THE DEVICE AND OBSERVED THAT THE DEVICE MADE AN UNUSUAL NOISE AND WAS SMOKING. THEREFORE, THE REPORTED CONDITIONS WERE CONFIRMED. IT WAS DETERMINED THAT THE NOISE WAS CAUSED BY WORN OR FAILING GEARS. IT WAS DETERMINED THAT THE SMOKE WAS CAUSED BY A WORN MOTOR WITH ELECTRONIC CONTROL UNIT. THE ASSIGNABLE ROOT CAUSE WAS DETERMINED TO BE DUE TO WEAR FROM NORMAL USE AND SERVICING. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED ACCORDINGLY.

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE HAS BEEN RETURNED AND IS CURRENTLY PENDING EVALUATION. ONCE RELIABILITY ENGINEERING EVALUATES THE DEVICE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SENT ACCORDINGLY. 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 SERVICE AND REPAIR/PRE-TESTING, IT WAS OBSERVED THAT THE BATTERY REAMER/DRILL DEVICE WAS SMOKING. THE EVENT IS NOT RELATED TO SURGERY. 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
419990 BATTERY REAMER/DRILL MOTOR, SURGICAL INSTRUMENT, AC- POWERED GEY SYNTHES OBERDORF 4448

Patients

Seq Age Sex Outcome Treatment
1