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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY SYNTHES POWER TOOLS UNKNOWN BATTERY; BATTERY, REPLACEMENT, RECHARGEABLE

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DEPUY SYNTHES POWER TOOLS UNKNOWN BATTERY; BATTERY, REPLACEMENT, RECHARGEABLE Back to Search Results
Catalog Number UNKNOWN
Device Problems Mechanical Problem (1384); Device Inoperable (1663)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 03/16/2017
Event Type  malfunction  
Manufacturer Narrative
The part number as unknown.All attempts to obtain product information were unsuccessful.Therefore, udi is unavailable.The brand name is unknown the manufacturing location is unknown.The catalog number, lot/serial number is unknown.Pma/510(k) number is unknown device manufacture date: the device manufacture date is unavailable.As of this date, the device has not been returned for evaluation; therefore, the reported condition cannot be confirmed and/or duplicated.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Event Description
This is report 2 of 2 for the same event.It was reported that during an unspecified veterinary surgical procedure, it was observed that the small battery drive handpiece device was working normal initially but would cut out gradually and intermittently while in use with the battery device.The reporter stated that the event was either handpiece or (less likely) battery related.It was reported that there was a delay in the procedure; however, the length of delay was not provided.It was not reported if a spare device was available for use.There was no human patient involvement as this was a veterinary procedure.There were no patient or user injuries reported.It was reported there was no medical intervention or prolonged hospitalization.All available information has been disclosed.If additional information should become available, a supplemental medwatch report will be submitted accordingly.
 
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Brand Name
UNKNOWN BATTERY
Type of Device
BATTERY, REPLACEMENT, RECHARGEABLE
Manufacturer (Section D)
DEPUY SYNTHES POWER TOOLS
n/i
n/i
Manufacturer (Section G)
DEPUY SYNTHES POWER TOOLS
n/i
n/i
Manufacturer Contact
michael cote
1302 wrights lane east
west chester, PA 19380
6107195000
MDR Report Key6476672
MDR Text Key72559806
Report Number8030965-2017-11726
Device Sequence Number1
Product Code MOQ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
UNKNOWN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Physician
Type of Report Initial
Report Date 03/22/2017
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 NumberUNKNOWN
Device Lot NumberN/I
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 03/22/2017
Initial Date FDA Received04/10/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Treatment
SMALL BATTERY DRIVE DEVICE
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