FDA Adverse Event Malfunction Summary report: N

2520274-2014-01015

MDR report key: 4143486 · Received October 6, 2014

Report

Report Number
2520274-2014-01015
Event Type
Malfunction
Date Received
October 6, 2014
Report Date
May 29, 2013
Manufacturer
SYNTHES (USA)
Product Code
MOQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
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. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED. PLACEHOLDER.

Description of Event or Problem · 1

THE BATTERY REAMER/DRILL AND BATTERY CASING WERE RETURNED FOR REPAIR BECAUSE THEY WERE NOT WORKING. DRILL'S ELECTRONIC CONTROL UNIT WAS UNRESPONSIVE AND THE BATTERY HOUSING SEAL WAS WORN AND DEFORMED. THIS IS REPORT 2 OF 2 FOR COMPLAINT #(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
622922 MOQ SYNTHES (USA)

Patients

Seq Age Sex Outcome Treatment
1