FDA Adverse Event Malfunction Summary report: N

BATTERY OSCILLATOR

MDR report key: 3951255 · Received July 22, 2014

Report

Report Number
8030965-2014-10392
Event Type
Malfunction
Date Received
July 22, 2014
Date of Event
July 7, 2014
Report Date
July 7, 2014
Manufacturer
SYNTHES OBERDORF
Product Code
GEY
PMA / PMN Number
PEXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AS OF THIS DATE, THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION; THEREFORE, THE REPORTED CONDITION CANNOT BE CONFIRMED AND/OR DUPLICATED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SENT ACCORDINGLY.

Additional Manufacturer Narrative · 1

ADDITIONAL NARRATIVE: THE ACTUAL DEVICE WAS RETURNED FOR EVALUATION. RELIABILITY ENGINEERING EVALUATED THE DEVICE AND OBSERVED THAT ONE OF THE BATTERY CONTACTS WAS DAMAGED. THEREFORE, THE REPORTED CONDITION WAS CONFIRMED. THE ASSIGNABLE ROOT CAUSE WAS DETERMINED TO BE DUE TO WORN COMPONENTS DUE TO USAGE WEAR 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 ORTHOPEDIC SURGERY, IT WAS DISCOVERED THAT THE BATTERY OSCILLATOR DEVICE WAS LOSING POWER. THE REPORTER CLAIMED THAT ALL BATTERIES WERE TESTED AND WORKED FINE. THERE WERE NO DELAYS TO THE PLANNED SURGICAL PROCEDURE AS A SPARE IDENTICAL 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
428044 BATTERY OSCILLATOR MOTOR, SURGICAL INSTRUMENT, AC-POWERED GEY SYNTHES OBERDORF 3208

Patients

Seq Age Sex Outcome Treatment
1