FDA Adverse Event Malfunction Summary report: N

POWER ASSIST WITH DISPLAY ASSEMBLY

MDR report key: 4713391 · Received April 13, 2015

Report

Report Number
3005677147-2015-00002
Event Type
Malfunction
Date Received
April 13, 2015
Date of Event
March 9, 2015
Report Date
April 10, 2015
Manufacturer
FHC, INC.
Product Code
HAW
PMA / PMN Number
K011992
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

DURING NEUROSURGERY FOR THE IMPLANTATION OF A DEEP BRAIN STIMULATION LEAD, THE NEUROLOGIST NOTICED A "CLICKING NOISE" FROM THE MICROTARGETING DRIVE MOTOR WHEN ADVANCING THE ELECTRODE PAST THE 2MM MARK. THE NEUROLOGIST AND NEUROSURGEON DECIDED TO RETRACT THE ELECTRODE BY ENGAGING THE REMOTE BUTTON THAT IS DESIGNED TO PULL THE ELECTRODE BACK UP TO THE ZERO MARK. THE ELECTRODE, HOWEVER, ADVANCED INSTEAD OF RETRACTED. THE NEUROSURGEON IMMEDIATELY REMOVED ALL DEVICES FROM THE PT. THERE WAS NO INJURY TO THE PT. THE MOTOR CONTROLLER AND REMOTE WERE DETACHED FROM THE DRIVE AND THE CASE PROCEEDED WITH MANUAL ADVANCEMENT OF THE ELECTRODE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
244083 POWER ASSIST WITH DISPLAY ASSEMBLY DRIVE MOTOR HAW FHC, INC. 6541

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention MICROTARGETING CONTROLER| REMOTE CONTROL| MICROTARGETING DRIFE