BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNIV-BATTERY CHARGER F/SYNTHES BATT 4 CH

    MDR report key: 4093327 · Received September 16, 2014

    Report

    Report Number
    8030965-2014-00881
    Event Type
    Malfunction
    Date Received
    September 16, 2014
    Report Date
    December 10, 2012
    Manufacturer
    SYNTHES GMBH
    Product Code
    MOQ
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL NARRATIVE: SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO SYNTHES SERVICE AND REPAIR FILES LEGACY REVIEW/REMEDIATION PROTOCOL-COMPLAINT HANDLING AND MDR REPORTING. DEVICE LISTED IN THIS REPORT IS 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 A TECHNICIAN, FUNCTIONAL TESTING WAS PERFORMED AND REVEALED THE POWER SUPPLIES WERE NOT FUNCTIONING PROPERLY. THIS WAS ATTRIBUTED TO NORMAL WEAR. THE DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER ON (B)(4) 2013. PLACEHOLDER.

    Description of Event or Problem · 1

    THE DEVICE WAS RETURNED FOR SERVICE. UPON RETURN OF THE DEVICE, THE TECHNICIAN FOUND THAT BOTH POWER SUPPLIES WERE DEFECTIVE, AND THAT THERE WERE BURN MARKS ON THE POWER DRIVE. THIS IS REPORT 1 OF 1 FOR COMPLAINT #(B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    571213 UNIV-BATTERY CHARGER F/SYNTHES BATT 4 CH MOQ SYNTHES GMBH 44168

    Patients

    Seq Age Sex Outcome Treatment
    1