| Brand Name | MOTOR DRIVE UNIT, HAND CNTRL, PWRMX EL |
| Common Device Name | SAW, POWERED, AND ACCESSORIES |
| Manufacturer (Section D) |
| SMITH & NEPHEW, INC. |
| 76 s. meridian ave. |
| oklahoma city OK 73107 |
|
| Manufacturer (Section G) |
| SMITH & NEPHEW, INC. |
| 76 s. meridian ave. |
|
| oklahoma city OK 73107 |
|
| Manufacturer Contact |
|
holly
topping
|
| 1450 brooks rd. |
| memphis, TN 38116
|
|
5123913905
|
|
| MDR Report Key | 24776554 |
| Report Number | 1643264-2026-00127 |
| Device Sequence Number | 9925690 |
| Product Code |
HAB
|
| UDI-Device Identifier | 03596010555472 |
| UDI-Public | 3596010555472 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | NL |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/10/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 72200616 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 03/30/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/16/2026 |
| Supplement Date Received by Manufacturer | 05/12/2026
|
| Initial Report FDA Received Date | 04/03/2026 |
| Supplement Report FDA Received Date | 06/10/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|