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 |