BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EMAX 2 PLLUS

    MDR report key: 4133435 · Received October 1, 2014

    Report

    Report Number
    1045834-2014-13205
    Event Type
    Malfunction
    Date Received
    October 1, 2014
    Report Date
    January 24, 2013
    Manufacturer
    DEPUY SYNTHES POWER TOOLS
    Product Code
    HBC
    PMA / PMN Number
    PK080802
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TU
    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 THE DEVICE HOSE WAS WORN, CLUTCH DIRTY. THE DEVICE WAS REPAIRED AND RETURNED TO CUSTOMER ON (B)(4) 2013.

    Description of Event or Problem · 1

    DEVICE WAS RETURNED FOR SERVICE. DURING SERVICE, TECHNICIAN INDICATED THE COUPLING TOOL WAS WORN, HOSE WAS WORN AND THE DEVICE EXCEEDED THE EXPECTED TEMPERATURE RESULTS. THIS IS REPORT 1 OF 1 FOR (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    613398 EMAX 2 PLLUS MOTOR HBC DEPUY SYNTHES POWER TOOLS

    Patients

    Seq Age Sex Outcome Treatment
    1