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 |