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