MAUDE Adverse Event Report: SYNTHES GMBH BATTERY OSCILLATOR

Catalog Number 530.610

Device Problems Loss of Power (1475); Temperature Problem (3022)

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

Event Type  malfunction  

Event Description

Device was returned for service.During service, technician indicated there was a lack of power.The device stopped during use.Also noted was the motor generated heat.This is report 1 of 1 for complaint #(b)(4).

Manufacturer Narrative

Additional narrative: synthes is submitting this report as a result of remediation activities related to synthes service and repair files legacy review/remediation protocol-complaint handling and mdr reporting.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.Device is not distributed in the united states, but is similar to device marketed in the usa.During pre-repair assessment performed by a technician, functional testing was performed and revealed the motor generates heat and the device stops while being used.This was attributed to normal wear.The device was repaired and returned to the customer on (b)(4) 2012.Placeholder.

• Brand Name: BATTERY OSCILLATOR
• 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: 4109946
• MDR Text Key: 4833284
• Report Number: 8030965-2014-01153
• Device Sequence Number: 1
• Product Code: MOQ
• Combination Product (y/n): N
• Reporter Country Code: FR
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Health Professional
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 02/27/2013

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: 530.610
• Device Lot Number: 3735
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 02/27/2013
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 02/27/2013
• Initial Date FDA Received: 09/23/2014
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 06/30/2008
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1