FDA Adverse Event Malfunction Summary report: N

EMAX 2 PLUS MOTOR

MDR report key: 3955238 · Received December 13, 2013

Report

Report Number
1045834-2013-14739
Event Type
Malfunction
Date Received
December 13, 2013
Report Date
January 25, 2012
Manufacturer
DEPUY SYNTHES POWER TOOLS
Product Code
HBC
PMA / PMN Number
K080802
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED BY DEPUY SYNTHES POWER TOOLS. THE INVESTIGATION IS STILL IN PROCESS. WHEN THE INVESTIGATION HAS BEEN COMPLETED OR ADD'L INFO BECOMES AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SENT.

Description of Event or Problem · 1

REPORT RECEIVED FROM USA STATING THAT THE DEVICE HAD EXPOSED WIRES. THE DEVICE WAS NOT USED IN SURGERY. IT IS UNK IF INJURY, SURGICAL DELAY, OR MEDICAL INTERVENTION OCCURRED. THE DATE OF EVENT IS UNK. THERE IS NO ADD'L INFO PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
654418 EMAX 2 PLUS MOTOR HBC DEPUY SYNTHES POWER TOOLS

Patients

Seq Age Sex Outcome Treatment
1