FDA Adverse Event
Malfunction
Summary report: N
SYSTEM 6 SMALL BATTERY
MDR report key: 1841976
·
Received August 26, 2010
Report
- Report Number
- 1811755-2010-01012
- Event Type
- Malfunction
- Date Received
- August 26, 2010
- Date of Event
- July 30, 2010
- Report Date
- August 2, 2010
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- KIJ
- PMA / PMN Number
- K972367
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
AS OF THE DATE OF THIS REPORT THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. THE PRODUCT WAS REQUESTED FROM THE ACCOUNT ON (B)(6) 2010. THIS REPORT WILL BE UPDATED WHEN THE PRODUCT IS RETURNED AND AN INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
IT WAS REPORTED BY THE CUSTOMER THAT THEY ARE HAVING ISSUES KEEPING THEIR BATTERIES CHARGED AND IT CAUSED AN ISSUE IN SEVERAL SURGERIES. IT WAS REPORTED THAT DURING AT LEAST 3 JOINT PROCEDURES FIVE BATTERIES WERE GONE THROUGH BEFORE A CHARGED ONE WAS FOUND. EVENTS SURROUNDING OTHER PROCEDURES WERE UNKNOWN. THE ACCOUNT WOULD USE AN OLDER BACKUP SYSTEM TO COMPLETE THE PROCEDURE. THIS DELAYED THE SURGERIES 30 MINUTES. THERE WERE NO ADVERSE CONSEQUENCES DURING THESE INCIDENCES AND THEY WERE ALL COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SYSTEM 6 SMALL BATTERY | INSTRUMENT,SURGICAL,ORTHOPEDIC, DC-POWERED MOTOR | KIJ | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |