FDA Adverse Event
Malfunction
Summary report: N
MICRO OSCILLATING SAW
MDR report key: 1911881
·
Received November 23, 2010
Report
- Report Number
- 1811755-2010-01804
- Event Type
- Malfunction
- Date Received
- November 23, 2010
- Date of Event
- November 3, 2010
- Report Date
- November 3, 2010
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- DZJ
- PMA / PMN Number
- K040369
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE HANDPIECE WAS RECEIVED AT THE MANUFACTURER FOR EVALUATION. THE REPORTED CONDITION OF THE DEVICE OVERHEATING COULD NOT BE CONFIRMED. BASED ON INVESTIGATION DETAILS, THE HANDPIECE PASSED ALL TESTING RELATED TO HEAT. THE LOWER ROTOR BEARING WAS FOUND LODGED IN THE MOTOR. THE BEARINGS AND MOTOR, ALONG WITH OTHER COMPONENTS, WERE REPLACED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE HANDPIECE BEGAN OVERHEATING DURING A SURGICAL PROCEDURE. THE PROCEDURE WAS COMPLETED. THERE WAS NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICRO OSCILLATING SAW | SURGICAL INSTRUMENT MOTORS AND ACCESSORIES/ATTACHM | DZJ | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |