MAUDE Adverse Event Report: SYNTHES GMBH BATTERY REAMER/DRILL

Catalog Number 530.605

Device Problem Mechanical Problem (1384)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Type  malfunction  

Event Description

The customer stated that the motor did not start after its sterilization.This is 1 of 1 report for event #(b)(4).

Manufacturer Narrative

Synthes is submitting this report as a result of remediation activities related to synthes (b)(4) and repair files legacy review/remediation protocol-complaint handling and mdr reporting.Blank fields on this form indicate the information is unknown, unavailable or unchanged.Device listed in this report is used for treatment, not diagnosis.Any additional information received regarding this event after filing this report shall be filed on a supplemental mdr.(b)(6).During pre-repair assessment performed by a technician, functional testing was performed and revealed the control unit did not operate.This was contributed to normal wear.The control unit, the maintenance kit and various small parts were replaced.Device was repaired and returned to the customer on (b)(6) 2012.Placeholder.

• Brand Name: BATTERY REAMER/DRILL
• Manufacturer (Section D): SYNTHES GMBH; eimattstrasse 3; ch-4436; oberdorf ; SZ
• Manufacturer (Section G): SYNTHES GMBH; eimattstrasse 3; ch-4436; oberdorf ; SZ
• Manufacturer Contact: linda plews ; 1302 wrights lane east; west chester, PA 19380 ; 8006207025
• MDR Report Key: 3920155
• MDR Text Key: 4585607
• Report Number: 8030965-2014-00438
• Device Sequence Number: 1
• Product Code: MOQ
• Combination Product (y/n): N
• Reporter Country Code: SZ
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Company Representative
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 10/23/2012

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 530.605
• Device Lot Number: 4018
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 10/23/2012
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 10/23/2012
• Initial Date FDA Received: 07/08/2014
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 01/30/2009
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1