FDA Adverse Event Injury Summary report: N

MICRO OSCILLATING SAW

MDR report key: 1902585 · Received November 12, 2010

Report

Report Number
1811755-2010-01676
Event Type
Injury
Date Received
November 12, 2010
Date of Event
July 21, 2010
Report Date
August 21, 2010
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HANDPIECE HAS NOT YET BEEN RECEIVED AT THE MANUFACTURER FOR TESTING. THE CUSTOMER INDICATED THEY WERE NOT INTERESTED IN PARTICIPATING IN ANY INVESTIGATION REGARDING THIS INCIDENT, HOWEVER, THE PRODUCT RETURN WAS STILL REQUESTED. IF THE PRODUCT IS RETURNED, AN EVALUATION WILL BE CONDUCTED AND A FOLLOW-UP REPORT WOULD BE SUBMITTED AFTER THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A SURGEON CONTACTED A PATIENT'S HEART WITH THE SAW BLADE OF THIS HANDPIECE DURING A SURGICAL PROCEDURE. IT IS UNKNOWN AT THIS TIME IF THERE WAS ANY INJURY TO THE PATIENT AS A RESULT OF THIS EVENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK