FDA Adverse Event Malfunction Summary report: N

EMAX 2 PLUS MOTOR

MDR report key: 4233113 · Received November 6, 2014

Report

Report Number
1045834-2014-14840
Event Type
Malfunction
Date Received
November 6, 2014
Date of Event
October 29, 2014
Report Date
October 29, 2014
Manufacturer
DEPUY SYNTHES POWER TOOLS
Product Code
HBC
PMA / PMN Number
PK080802
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE WAS RETURNED FOR EVALUATION. RELIABILITY ENGINEERING EVALUATED THE DEVICE AND OBSERVED THAT THE DEVICE FAILED THERMISTOR ASSESSMENT AND THE ROTATIONS PER MINUTE (RPMS) WERE AT 49,000. IT WAS DETERMINED THAT THIS TYPE OF DAMAGE WAS INDICATIVE OF A DEVICE THAT HAD OVERHEATED, WHICH CAUSED THE THERMISTOR TO GO BAD AND NO LONGER OPERATE PROPERLY. IT WAS DETERMINED THAT THE LOW RPMS WERE DUE TO A THERMISTOR THAT WAS GOING OUT DUE TO OVERHEATING. THEREFORE, THE REPORTED CONDITION WAS CONFIRMED. THE ASSIGNABLE ROOT CAUSE WAS DETERMINED TO BE DUE TO NORMAL WEAR AND SERVICING OVER TIME. 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

IT WAS REPORTED THAT DURING PRE-SURGERY, IT WAS DISCOVERED THAT THE MOTOR DEVICE WAS RUNNING HOT. THERE WERE NO DELAYS TO THE PLANNED SURGICAL PROCEDURE AS AN IDENTICAL SPARE DEVICE WAS AVAILABLE FOR USE. THERE WAS NO PATIENT INVOLVEMENT REPORTED. THERE WERE NO REPORTS OF INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED ACCORDINGLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
715552 EMAX 2 PLUS MOTOR MOTOR, DRILL, ELECTRIC - HANDPIECE HBC DEPUY SYNTHES POWER TOOLS NA

Patients

Seq Age Sex Outcome Treatment
1