BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6.5CM ADULT CRANI ATTACHMT

    MDR report key: 4133437 · Received October 1, 2014

    Report

    Report Number
    1045834-2014-13121
    Event Type
    Malfunction
    Date Received
    October 1, 2014
    Report Date
    April 3, 2013
    Manufacturer
    DEPUY SYNTHES POWER TOOLS
    Product Code
    HBC
    PMA / PMN Number
    PK133604
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    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 TECHNICIAN, IT WAS NOTED THAT THE NEURO TIP WAS DAMAGED AS WELL AS THE CRANI LUG AND THE BALL BEARING WAS WORN DUE TO INAPPROPRIATE HANDLING. DEVICE WAS INSPECTED, AND REPAIRED BY REPLACING A FEW COMPONENTS.

    Description of Event or Problem · 1

    CUSTOMER REPORTED THAT THE CONSOLE DISPLAYED THE HANDPIECE OVERHEAT WARNING, IMPENDING HANDPIECE SHUTDOWN ERROR CODE. THIS IS 1 OF 1 REPORT FOR EVENT # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612769 6.5CM ADULT CRANI ATTACHMT MOTOR, DRILL, ELECTRIC HBC DEPUY SYNTHES POWER TOOLS

    Patients

    Seq Age Sex Outcome Treatment
    1