FDA Adverse Event Malfunction Summary report: N

OSCILL-SAW-ATTACHM F/532.001 532.010 532

MDR report key: 4124058 · Received September 27, 2014

Report

Report Number
8030965-2014-01363
Event Type
Malfunction
Date Received
September 27, 2014
Report Date
February 28, 2013
Manufacturer
SYNTHES GMBH
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO SYNTHES OUS 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 TECHNICIAN, INVESTIGATION REVEALED DIRT, OIL AND CORRODED COMPONENTS JAMMED DEVICE ATTACHMENT AS A RESULT OF IMPROPER CARE AND MAINTENANCE. THE DEVICE WAS REPAIRED AND RETURNED TO CUSTOMER ON (B)(6) 2013. THE COMPLAINT IS INDETERMINATE. (B)(6). PLACEHOLDER.

Description of Event or Problem · 1

CUSTOMER REPORTED DEVICE NO LONGER WORKS. THIS IS REPORT 1 OF 1 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
603690 OSCILL-SAW-ATTACHM F/532.001 532.010 532 HWE SYNTHES GMBH 7211

Patients

Seq Age Sex Outcome Treatment
1