BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCULAN II PISTOL-SHAPED BATTERY DRILL

    MDR report key: 6609665 · Received June 2, 2017

    Report

    Report Number
    9610612-2017-00291
    Event Type
    Malfunction
    Date Received
    June 2, 2017
    Report Date
    June 27, 2017
    Manufacturer
    AESCULAP AG
    Product Code
    NWF
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    REPORTED DEVICE NOT MARKETED IN THE U.S., HOWEVER, SIMILAR DEVICES OR DEVICES THAT SHARE COMPONENTS, RAW MATERIALS, PROCESS METHODS OR ANY OTHER TECHNOLOGICAL CHARACTERISTICS WITH A MEDICAL DEVICE THAT IS REGISTERED WITHIN THE U.S. AESCULAP INC. (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF AESCULAP AG (MANUFACTURER). EXEMPTION NUMBER: E2014018. MANUFACTURING SITE EVALUATION: EVALUATION ON-GOING.

    Description of Event or Problem · 0

    COUNTRY OF COMPLAINT: GERMANY. IT WAS REPORTED THAT DURING SURGERY THE DRILL CONTINUED TO RUN AND WOULD NOT STOP AND THE SURGICAL NURSE DRILLED INTO THEIR FINGERS.

    Additional Manufacturer Narrative · 1

    INVESTIGATION: THE INVESTIGATION HAS BEEN CARRIED OUT BY THE ATS DEPARTMENT. THE COMPLAINED FAILURE ("MACHINE DID NOT STOP") CAN NOT BE REPORDUCED DURING THE FUNCTIONAL TESTING. ITS NOT POSSIBLE TO START THE DEVICE BY PRESSING THE SWITCH BUTTONS. ONLY AFTER A MANUAL TURING OF THE DRIVE SPINDLE, THE DEVICE STARTS TO WORK. AFTER RELEASING THE SWITCH BUTTONS, THE MACHINE STOPS IMMEDIATELY. THE SWITCH BUTTONS ARE MOVING ROUGHLY. THE INTERIOR IS SOILED AND WET. ABRASION OF COALDUST CAN BE FOUND. THE SWITCH BUTTONS ARE CLEAN BUT DRY (NO GREASE). CONCLUSION AND ROOT CAUSE: BASED ON THE INFORMATION AVAILABLE AS WELL AS A RESULT OF OUR INVESTIGATION THE ROOT CAUSE OF THE FAILURE IS MOST PROBABLY USER RELATED. RATIONAL: THE WETNESS INSIDE THE MACHINE INDICATES, THAT AN INSUFFICIENT CLEANING PROCESS MAY HAVE LED TO THE DEFECT. ITS POSSIBLE THAT THE GREASE AT THE SWITCH BUTTONS HAS BEEN WASHED AWAY DURING THE CLEANING PROCESS. THIS COULD HAVE LED TO THE DESCRIBED FAILURE. CORRECTIVE ACTION: NO CAPA IS NECESSARY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    388200 ACCULAN II PISTOL-SHAPED BATTERY DRILL POWER SYSTEMS ORTHOPAEDICS NWF AESCULAP AG GA620D

    Patients

    Seq Age Sex Outcome Treatment
    1 Other