FDA Adverse Event
Malfunction
Summary report: N
SYSTEM CONSOLE
MDR report key: 3984190
·
Received December 18, 2013
Report
- Report Number
- 1045834-2013-08713
- Event Type
- Malfunction
- Date Received
- December 18, 2013
- Report Date
- August 9, 2011
- Manufacturer
- DEPUY SYNTHES POWER TOOLS
- Product Code
- HBC
- PMA / PMN Number
- K080802
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
RELIABILITY ENGINEERING EVALUATED THE DEVICE, AND THE REPORTED ERROR MESSAGE COULD NOT BE CONFIRMED OR DUPLICATED. THE DEVICE PASSED ALL TESTS AND NO PROBLEMS WERE OBSERVED. IF ADDITIONAL INFO IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem · 1
A REPORT FROM THE USA STATED THAT E6 ERROR MESSAGE OCCURRED DURING A CRANIOTOMY; ERROR MESSAGE DISPLAYED ON THE CONSOLE. THE DEVICE WAS REBOOTED. AFTER A SHORT PERIOD OF DRILLING, THE ERROR MESSAGE OCCURRED, HOWEVER, IS UNK IF USER INJURY OR MEDICAL INTERVENTION OCCURRED. THE OCCURRENCE DATE IS UNK. THERE WAS NO ADDITIONAL INFO PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 663927 | SYSTEM CONSOLE | HBC | DEPUY SYNTHES POWER TOOLS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |