Not literally translated it means "What's your problem?"
¿tiene usted?
"usted no tiene este"----- you don't have this
tiene usted
Usted is a word in Spanish language that is a formal term for the English word "you", as you would refer to someone of honor or respect. The Spanish word "tu" is the informal term for the English word "you" that two friends would use when speaking to each other.
You say, "Tiene usted****?"
'Tiene usted mis herramientas?'
¿Usted tiene prisa? ¿Usted esta apurado?
As a statement "You have a cold" = Usted tiene un resfriado. As a question "Do you have a cold?" = ¿Tiene usted un resfiado? In the familiar, Tú tienes un resriado. - ¿Tienes un resfriado?
usted no tiene que saber
¿Tiene usted a una novia?
Usted tiene is a sentence fragment that means "you have". This is a formal statement. When speaking informally the fragment would be "Tú tienes"
Are you hot (temperature)