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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. DYONICS POWER DRILL; SAW, POWERED, AND ACCESSORIES

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SMITH & NEPHEW, INC. DYONICS POWER DRILL; SAW, POWERED, AND ACCESSORIES Back to Search Results
Model Number 7205785
Health Effect - Clinical Code No Known Impact Or Consequence To Patient (2692)
Date of Event 01/25/2018
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(6).
 
Event or Problem Description
It was reported that when trigger is released the handpiece continues to run.No patient injury was reported.
 
Additional Manufacturer Narrative
The reported device was not returned to the designated complaint unit for independent evaluation, thus visual inspection and functional testing could not be performed.A relationship, if any, between the subject device and the reported event could not be determined.A review of the device history records showed there were no indications to suggest that the product did not meet manufacturing specification or would not be able to perform as intended.
 
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Brand Name
DYONICS POWER DRILL
Common Device Name
SAW, POWERED, AND ACCESSORIES
Manufacturer (Section D)
SMITH & NEPHEW, INC.
76 s. meridian ave.
oklahoma city OK 73107 6512
MDR Report Key7281561
Report Number1643264-2018-00154
Device Sequence Number1890391
Product Code HAB
UDI-Device Identifier03596010410702
UDI-Public(01)03596010410702
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source distributor,foreign,health pr
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/27/2018
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 Model Number7205785
Device Catalogue Number7205785
Was Device Available for Evaluation? No
Initial Date Received by Manufacturer 01/25/2018
Supplement Date Received by Manufacturer03/23/2018
Initial Report FDA Received Date02/20/2018
Supplement Report FDA Received Date03/27/2018
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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