FDA Adverse Event Malfunction Summary report: N

BATTERY, REPLACEMENT, RECHARGEABLE

MDR report key: 4141481 · Received October 4, 2014

Report

Report Number
2520274-2014-13890
Event Type
Malfunction
Date Received
October 4, 2014
Report Date
September 9, 2014
Manufacturer
SYNTHES USA
Product Code
MOQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THIS REPORT IS FOR AN UNKNOWN COLIBRI 1 OR 2, PART/LOT NUMBER UNKNOWN . WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORD REVIEW AND THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT THE MTA WARD HAD RECEIVED A REIDAR REPORT. (B)(4), THE REPORT IS ABOUT A COLIBRI THAT HAVE BEEN ON SERVICE BECAUSE THE MASKIN BUTTON GOT STUCK AND DIDN´T STOP DRILLING WHEN THE SURGEON RELEASE THE START BUTTON. ACCORDING TO THE REPORT, THE EVENT HAPPENED DURING SURGERY. THERE WAS NO PATIENT HARM. THIS REPORT IS 1 OF 1 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
621692 BATTERY, REPLACEMENT, RECHARGEABLE MOQ SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1