FDA Adverse Event Malfunction Summary report: N

OSCILL-SAW-ATTACHM F/532.001 532.010 532

MDR report key: 4151235 · Received October 8, 2014

Report

Report Number
8030965-2014-01137
Event Type
Malfunction
Date Received
October 8, 2014
Report Date
July 30, 2013
Manufacturer
SYNTHES GMBH
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
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. (B)(6). DURING PRE-REPAIR ASSESSMENT PERFORMED BY A TECHNICIAN, FUNCTIONAL TESTING WAS PERFORMED AND REVEALED THE COUPLING POWER SUPPLY WAS DAMAGED. THIS WAS CONTRIBUTED TO NORMAL WEAR. VARIOUS PARTS WERE REPLACED. DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER ON (B)(4) 2013. PLACEHOLDER.

Description of Event or Problem · 1

DEVICE WAS RETURNED FOR SERVICE. DURING SERVICE, TECHNICIAN FOUND COUPLING POWER SUPPLY NOT FUNCTIONING. THIS IS REPORT 1 OF 1 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
632535 OSCILL-SAW-ATTACHM F/532.001 532.010 532 HWE SYNTHES GMBH 10488

Patients

Seq Age Sex Outcome Treatment
1