FDA Adverse Event Malfunction Summary report: N

DYONICS POWER SAGITTAL SAW

MDR report key: 5250292 · Received November 25, 2015

Report

Report Number
1643264-2015-00183
Event Type
Malfunction
Date Received
November 25, 2015
Date of Event
February 13, 2013
Report Date
February 22, 2013
Manufacturer
SMITH & NEPHEW, INC.
Product Code
HAB
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(6). THE DEVICE WAS RECEIVED AND CONFIRMED OF NO OPERATION. DEVICE WAS SENT FOR FURTHER EVALUATION WHERE IT WAS ADDITIONALLY CONFIRMED THAT THE DEVICE DID NOT FUNCTION. DEVICE HAD TRANSMISSION, MOTOR, BEARINGS, WASHERS, O-RINGS, AND RETAINERS REPLACED. AFTER THE EVALUATION THE ROOT CAUSE FOR THE REPORTED ISSUE COULD NOT BE DETERMINED. (B)(4).

Description of Event or Problem · 1

DURING AN UNKNOWN PROCEDURE IT WAS REPORTED THAT THE MOTOR OF THE DEVICE DIDN'T START TO ROTATE BECAUSE OF THE TROUBLE WITH THE HANDLE SWITCH. IT WAS CONFIRMED THAT THE HANDLE SWITCH DIDN'T WORK WHILE THE DEVICE COULD BE STARTED TO ROTATE WITH THE FOOTSWITCH. THERE WAS A REPORTED ONE HUNDRED FIFTY MINUTE DELAY AND NO PATIENT INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
779035 DYONICS POWER SAGITTAL SAW SAW, POWERED, AND ACCESSORIES HAB SMITH & NEPHEW, INC. VO002614

Patients

Seq Age Sex Outcome Treatment
1