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 |