FDA Adverse Event Malfunction Summary report: N

MICRO OSCILLATING SAW WITH XI BLADE MOUNT

MDR report key: 1854428 · Received September 30, 2010

Report

Report Number
1811755-2010-01285
Event Type
Malfunction
Date Received
September 30, 2010
Date of Event
September 10, 2010
Report Date
September 10, 2010
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HANDPIECE WAS RECEIVED AT THE MANUFACTURER FOR EVALUATION, AND THE REPORTED CONDITION OF THE DEVICE OVERHEATING WAS DUPLICATED. BASED ON THE INVESTIGATION DETAILS, THE LIKELY CAUSE WAS PROBLEMS WITH ROTOR BEARINGS AND ROLLER BEARINGS, WHICH WERE EACH REPLACED ALONG WITH OTHER COMPONENTS. SERVICE REPAIRED AND RETURNED THE DEVICE TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HANDPIECE OVERHEATED DURING A ROUTINE MAINTENANCE VISIT AND IN A NON-STERILE ENVIRONMENT. THERE WAS NO PATIENT INVOLVEMENT. THERE WERE NO ADVERSE CONSEQUENCES REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO OSCILLATING SAW WITH XI BLADE MOUNT SURGICAL INSTRUMENT MOTORS AND ACCESSORIES/ATTAC ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK