FDA Adverse Event Malfunction Summary report: N

SVC REPL,MDU, HAND CNTRL, PWRMX

MDR report key: 6078581 · Received November 4, 2016

Report

Report Number
1643264-2016-00209
Event Type
Malfunction
Date Received
November 4, 2016
Date of Event
October 18, 2016
Report Date
October 18, 2016
Manufacturer
SMITH & NEPHEW, INC.
Product Code
HAB
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

.H3: DEVICE INVESTIGATION NARRATIVE - ONE SERVICE REPLACEMENT POWERMAX ELITE MOTOR DRIVE UNIT, PART NUMBER 72200616S WAS RECEIVED ON OCTOBER 27, 2016 AND CONFIRMED TO BE SERIAL NUMBER AAL44570 AS REPORTED IN THE COMPLAINT. THE REPORTED COMPLAINT OF OVERHEATING AND MOTOR STALL COULD NOT BE CONFIRMED. PRODUCT DID NOT OVERHEAT DURING FUNCTIONAL TESTING. UNIT WAS TESTED AT SPEED SETTINGS OF BETWEEN 500 AND 10,000 RPMS IN FORWARD AND REVERSE FOR 5 MINUTES EACH. THE OSCILLATE FUNCTION WAS TESTED FOR 5 MINUTES OF CONTINUOUS PERFORMANCE WITH NO OVERHEATING. TEST BLADE DID NOT MELT AT HIGH SPEEDS WHEN USED CORRECTLY WITH IRRIGATION. PRODUCT WAS TESTED ON A KNOWN GOOD DYONICS POWER, DII, AND DII EIP CONTROL UNITS WITH AND WITHOUT FOOTSWITCH. AT NO TIME DID MDU OVERHEAT OR LOCK UP. ALL FUNCTIONS PERFORM AS EXPECTED. NO PROBLEM FOUND.C-0123748

Description of Event or Problem · 1

IT WAS REPORTED THE MOTOR DRIVE UNIT HAND CNTRL PWRMX EL WAS NOT TURNING AND OVERHEATED DURING USE. THIS OCCURRED DURING THE PROCEDURE. THE PROCEDURE WAS COMPLETED WITH SAME DEVICE. THERE WAS NO DELAY OR PATIENT INJURIES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
730794 SVC REPL,MDU, HAND CNTRL, PWRMX SAW, POWERED, AND ACCESSORIES HAB SMITH & NEPHEW, INC.

Patients

Seq Age Sex Outcome Treatment
1