FDA Adverse Event
Malfunction
Summary report: N
SAGITTAL SAW ATTACHMENT
MDR report key: 1960739
·
Received December 16, 2010
Report
- Report Number
- 1811755-2010-02041
- Event Type
- Malfunction
- Date Received
- December 16, 2010
- Date of Event
- November 17, 2010
- Report Date
- November 18, 2010
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- HRX
- PMA / PMN Number
- K943323
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR EVALUATION AND THE CUSTOMER COMMENT WAS CONFIRMED. THE DEVICE HAD NUMEROUS DENTS AND MARKINGS CONSISTENT WITH ROUGH HANDLING. IF THE BLADE MOUNT BECOMES DAMAGED TO THE POINT OF BENDING OR DEFORMING, THEN BLADE WILL BIND AND CAUSE A SITUATION OF ADDED FRICTION HEAT.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A ROUTINE MAINTENANCE VISIT AT A CUSTOMER, THE FIELD SERVICE TECH INDICATED THAT THE HANDPIECE GETS HOT AFTER 40 SECONDS RUN TIME. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SAGITTAL SAW ATTACHMENT | SURGICAL INSTRUMENT MOTORS AND ACCESSORIES/ATTACHM | HRX | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |