FDA Adverse Event
Malfunction
Summary report: N
HALL LARGE BONE OSCILLATING BLADE
MDR report key: 956750
·
Received November 30, 2007
Report
- Report Number
- 1017294-2007-00843
- 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 9800 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 |