FDA Adverse Event Malfunction Summary report: N

JTS UNIT

MDR report key: 7864476 · Received September 11, 2018

Report

Report Number
3004105610-2018-00082
Event Type
Malfunction
Date Received
September 11, 2018
Date of Event
August 16, 2018
Report Date
September 11, 2018
Manufacturer
STANMORE IMPLANTS WORLDWIDE
Product Code
KRO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT THIS EVENT IS RELATED TO A JTS DRIVE UNIT WHICH IS USED IN CONJUNCTION WITH THE JTS NON-INVASIVE EXTENDIBLE IMPLANT (K092138). AN INVESTIGATION IS BEING PERFORMED IN AN ATTEMPT TO IDENTIFY THE CAUSE OF THE EVENT. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE IT WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE JTS DRIVE MOTOR UNIT HAD ERROR '8' DISPLAYED AND IT WAS CONSIDERED A MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
705534 JTS UNIT LIMB SALVAGE SYSTEM KRO STANMORE IMPLANTS WORLDWIDE 907-120

Patients

Seq Age Sex Outcome Treatment
1 Other