FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 1924654 · Received December 9, 2010

Report

Report Number
1811755-2010-01991
Event Type
Malfunction
Date Received
December 9, 2010
Date of Event
November 23, 2010
Report Date
November 23, 2010
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE HANDPIECE WAS RECEIVED AT THE MFR FOR SERVICE, AND A CONDITION OF RUN-ON WAS FOUND. BASED ON THE INVESTIGATION DETAILS, THE LIKELY CAUSE WAS PROBLEMS WITH THE MOTOR, PRESS PLUGS, SPHERICAL BEARING, AND BLADE MOUNT. THOSE PARTS WERE REPLACED ALONG WITH THE HOUSING. SERVICE REPAIRED AND RETURNED THE DEVICE TO THE CUSTOMER.

Description of Event or Problem · 1

THE HANDPIECE WAS RETURNED TO THE MFR FOR SERVICE, AND DURING THE INVESTIGATION A RUN-ON CONDITION WAS FOUND. THIS EVENT DID NOT OCCUR DURING A SURGICAL PROCEDURE. THERE WAS NO PT INVOLVEMENT OR ANY ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK