FDA Adverse Event
Malfunction
Summary report: N
MICRO SAGITTAL SAW
MDR report key: 2033713
·
Received March 23, 2011
Report
- Report Number
- 1811755-2011-00917
- Event Type
- Malfunction
- Date Received
- March 23, 2011
- Date of Event
- February 1, 2011
- Report Date
- February 23, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- HBE
- PMA / PMN Number
- K032303
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
DURING THE QUALITY INVESTIGATION, THE CUSTOMER'S COMPLAINT WAS CONFIRMED; THE DEVICE WAS RUNNING WHILE IT WAS ON SAFE MODE. FURTHER INVESTIGATION REVEALED CORROSION DAMAGE TO THE PRESS PLUG AND THE BEARING. THE LOW MOTOR CARTRIDGE WAS IDENTIFIED AS THE PRIMARY CAUSE OF THE FAILURE. THE DAMAGED PARTS WERE REPLACED AND THE DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER.
Description of Event or Problem · 1
A STRYKER CORE IMPACTION DRILL WAS SENT IN FOR REPAIR BECAUSE IT WAS RUNNING ON ITS OWN DURING PREPARATION PRIOR TO A PROCEDURE. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICRO SAGITTAL SAW | BONE CUTTING INSTRUMENT AND ACCESSORIES | HBE | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |