HAND PIECE FOR BATTERY POWERED DRIVER
Received Aug 12, 2022 · Event occurred Jun 15, 2022
Report 2939274-2022-03228 · MDR key 15217043
Device
Generic name
Instrument, Surgical, Orthopedic, Ac-powered Motor And Accessory/attachment
Manufacturer
Wrights Lane Synthes Usa Products LlcModel number
05.000.008Catalog number
05.000.008
Lot number
007933
Product problems
- Electrical /Electronic Property Problem
- Electrical /Electronic Property Problem
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE REVERSE FUNCTION OF HAND PIECE OF BATTERY POWER DRIVER DOES NOT WORK. THE ISSUE WAS OBSERVED DURING WEEKLY AUDIT OF EQUIPMENT. THERE WAS NO PATIENT INVOLVEMENT. DURING MANUFACTURER'S INVESTIGATION OF THE RETURNED DEVICE IT WAS IDENTIFIED THAT THE DEVICE RAN LOW IN FAST FORWARD, DID NOT RUN IN REVERSE, MEMBRANE VENT AND WIRES WERE DISCOLORED, RUST WAS PRESENT ON MOTOR, BROWN RESIDUE WAS PRESENT ON BARRIERS AND COSMETIC TEST WAS FAILED. THIS REPORT IS FOR ONE (1) HAND PIECE FOR BATTERY POWERED DRIVER. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).
Additional Manufacturer Narrative
DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. REPORTER IS A J&J SALES REPRESENTATIVE. A PRODUCT INVESTIGATION WAS CONDUCTED. SERVICE AND REPAIR EVALUATION: THE CUSTOMER REPORTED THAT 05.000.008, HAND PIECE FOR BATTERY POWERED DRIVER DOES NOT WORK IN REVERSE. THE REPAIR TECHNICIAN REPORTED THE DEVICE RAN LOW IN FAST FORWARD, DID NOT RUN IN REVERSE, MEMBRANE VENT AND WIRES WERE DISCOLORED, RUST WAS PRESENT ON MOTOR, BROWN RESIDUE WAS PRESENT ON BARRIERS AND COSMETIC TEST WAS FAILED. DAMAGED COMPONENT IS THE REASON FOR REPAIR. THE CAUSE OF THE ISSUE IS UNKNOWN. THE FOLLOWING PARTS WERE REPLACED: CIRCUIT BOARD, PFHS, MOTOR/GEARHEAD, MEMBRANE SWITCH/FLEX CIRCUIT, CAM SCREW, SET SCREW, SHRINK TUBING, NOSE CONE, DRIVE COLUMN, ROTARY SEAL, DRIVE SHAFT AND MEMBRANE VENT. THE ITEM WAS REPAIRED PER THE INSPECTION SHEET, PASSED SYNTHES FINAL INSPECTION AND WILL BE RETURNED TO THE CUSTOMER UPON COMPLETION OF THE SERVICE AND REPAIR PROCESS. THE EVALUATION WAS CONFIRMED. THE DEVICE WAS DEEMED SERVICEABLE AND WILL BE RETURNED TO THE CUSTOMER, NO DESIGN OR MANUFACTURING ISSUES WERE IDENTIFIED THEREFORE IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED: PART #: 05.000.008, SYNTHES LOT #: 007933, SUPPLIER LOT #: 007933, RELEASE TO WAREHOUSE DATE: 22 OCT 2020, SUPPLIERS: (B)(4). NO NCR'S GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORD(S) SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THIS PRODUCT, AND ANY SUB-COMPONENTS, WHICH WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.