UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-21 for UNKNOWN manufactured by Depuy Synthes Power Tools.

Event Text Entries

[41143636] 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.
Patient Sequence No: 1, Text Type: N, H10


[41143637] This is report 2 of 2 for the same event. It was reported that during an unspecified surgical procedure, it was observed that the burr device would not fully lock into the handpiece device; then it became stuck and would not unlock. It was reported that there was no delay in the procedure as an unspecified spare device was available for use. 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2520274-2016-11748
MDR Report Key5513627
Date Received2016-03-21
Date of Report2016-03-04
Date of Event2016-03-03
Date Mfgr Received2016-03-04
Date Added to Maude2016-03-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLINDA PLEWS
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6107195000
Manufacturer G1DEPUY SYNTHES POWER TOOLS
Manufacturer StreetNI
Manufacturer CityNI
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUNKNOWN
Generic NameUNKNOWN
Product CodeHTT
Date Received2016-03-21
Catalog NumberUNKNOWN
Lot NumberNI
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY SYNTHES POWER TOOLS
Manufacturer AddressNI NI US


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-21

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