FDA Adverse Event
Malfunction
Summary report: N
PIN COLLET
MDR report key: 2000582
·
Received February 1, 2011
Report
- Report Number
- 1811755-2011-00287
- Event Type
- Malfunction
- Date Received
- February 1, 2011
- Date of Event
- January 7, 2011
- Report Date
- January 7, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- KIJ
- PMA / PMN Number
- K972367
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR INVESTIGATION. ACCORDING TO THE INVESTIGATION DETAILS, CORROSION AND FIBERS WERE FOUND IN THE COLLET SLOTS. THE FIBERS ARE A SIGN OF IMPROPER CLEANING AT THE ACCOUNT. THE PRESENCE OF FIBERS AND CORROSION WOULD CAUSE THE DEVICE TO NOT RETAIN THE PINS.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE DEVICE WOULD NOT RETAIN A PIN. THERE WERE NO ALLEGATIONS OF ADVERSE CONSEQUENCES ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PIN COLLET | INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR | KIJ | STRYKER INSTRUMENTS KALAMAZOO | 9705 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |