FDA Adverse Event Malfunction Summary report: N

HALL LARGE BONE OSCILLATING BLADE

MDR report key: 956749 · Received November 30, 2007

Report

Report Number
1017294-2007-00829
Event Type
Malfunction
Date Received
November 30, 2007
Report Date
November 2, 2007
Manufacturer
CONMED LINVATEC
Product Code
DZH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO MEDWATCH FORM RECEIVED FROM THE USER FACILITY. INVESTIGATION RESULTS: THE DEVICE WAS RECEIVED FOR EVALUATION. A VISUAL INSPECTION FOUND NO DAMAGE TO THE OUTER BOX CONTAINING THIS PRODUCT BUT FOUND A CRACK/HOLE IN THE CORNER OF THE BLISTER PACKAGE WHICH CONTAINS THE BLADE. FURTHER INVESTIGATION FOUND THAT THE STERILITY OF THE PRODUCT IS COMPROMISED. A REVIEW OF PRODUCT HISTORY FOR THE PAST 2 YEARS FOUND NO OTHER SIMILAR REPORTS FOR THIS PROBLEM. THERE IS ONE OTHER REPORTED PROBLEM FOR THIS LOT NUMBER AND BLADE PACKAGED IN THE SAME BOX. THIS BLADE IS SOLD STERILE, IN A BOX OF 5.

Description of Event or Problem · 1

IT WAS REPORTED BY OUR DISTRIBUTOR IN JAPAN THAT THE PACKAGE CONTAINING THIS STERILE BLADE HAS A CRACK IN THE TRAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HALL LARGE BONE OSCILLATING BLADE OSCILLATING BLADE DZH CONMED LINVATEC NA BBD24642

Patients

Seq Age Sex Outcome Treatment
1 NA YR