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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH BATTERY OSCILLATOR II FOR BPL II; MOTOR, SURGICAL INSTRUMENT, AC-POWERED

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SYNTHES GMBH BATTERY OSCILLATOR II FOR BPL II; MOTOR, SURGICAL INSTRUMENT, AC-POWERED Back to Search Results
Catalog Number 530.710
Device Problems Detachment of Device or Device Component (2907); Device-Device Incompatibility (2919); Premature Separation (4045)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/11/2021
Event Type  malfunction  
Event Description
It was reported from (b)(6) that during service and evaluation, it was determined that the battery oscillator device had had damaged mechanics, the device was corroded, and the contacts were damaged, the swing fork was worn, and the turn knob was detached from the device.It was further determined that the device failed pretest for general condition, check the quick coupling for saw blades, and check the function of the device.It was noted in the service order that the device would not grip the saw blade, and the saw blade flew off causing a near miss with a staff member.This event did not occur during surgery.There was no patient involvement.There were no reports of injuries, medical intervention, or prolonged hospitalization.All available information has been disclosed.If additional information should become available, a supplemental medwatch will be submitted accordingly.
 
Manufacturer Narrative
Device was used for treatment, not diagnosis.If information is obtained that was not available for this medwatch, a supplemental medwatch report will be filed as appropriate.Additional narrative: the actual device was returned for evaluation.Quality engineering evaluated the battery oscillator device, and it was determined that the device failed visual inspections.It was determined that the cause for detached turn knob of the handpiece is a confirmed design error and has been captured in a capa.Also, the cause for other found defects are due to wear.A review of the service history record indicates that the device has not been serviced for a service condition that is relevant to the current reported condition.Udi ¿ (b)(4).
 
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Brand Name
BATTERY OSCILLATOR II FOR BPL II
Type of Device
MOTOR, SURGICAL INSTRUMENT, AC-POWERED
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer Contact
kara ditty-bovard
eimattstrasse 3
oberdorf 4436
SZ   4436
6107428552
MDR Report Key12925646
MDR Text Key287594136
Report Number8030965-2021-09953
Device Sequence Number1
Product Code GEY
UDI-Device Identifier07611819491847
UDI-Public07611819491847
Combination Product (y/n)N
Reporter Country CodeSZ
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 10/11/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/03/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number530.710
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/22/2021
Date Manufacturer Received12/01/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/14/2017
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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